Library Card Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Your library card gives you access to physical materials, e-materials, and online resources!

* One application form needs to be filled out for each person applying for a library card.

* Use your full legal name (Katherine Anne Smith, not Kate Smith).

* If you're a Wisconsin resident you are eligible for a free library card. For out-of-state residents, there is an annual fee.

* A valid driver’s license or state ID with your name and current residential address is used to verify identity. If your ID does not have your current address, proof of residence must be shown such as a recent utility bill or a paycheck stub.

*If you are under 18 years old, a parent/guardian must verify the application and identity before a library card is issued.

First Name (Legal name) *

Middle Name (Legal name) *

Last Name *

Full Name of Parent/Guardian (if borrower is under 18)

Date of Birth *

YYYY

Mailing Address *

City *

State *

Zip Code *

Street Address (if different from above)

I live in *

Township

Village

City of

Name of Township, Village or City of (i.e. Village of Somerset or Town of Star Prairie) *

County *

Phone Number (please use dashes) *

Alternate Phone Number (please use dashes)

Preferred Method of Contact for Hold Pickups and Overdue Notices. *

Phone

Text

If you selected text, enter your phone carrier/provider (i.e. T-Mobile).

Clear form

Never submit passwords through Google Forms.

This form was created inside of Somerset Public Library. Report Abuse

Forms