Hinton Library Membership Form
Note: The information on this form is being collected under the authority of the Libraries Act and the Freedom of Information & Protection of Privacy Act (Section 33(c)). The information provided will be used to issue a library card, contact you about requested or borrowed library resources, calculate administrative statistics and provide information on library programs.
* Required
Full Name
*
Full Name as listed on your Government Issued Identification
Your answer
Gender
Male
Female
Prefer not to say
Clear selection
Address 1
*
Your answer
Address 2 (Optional)
Your answer
Town
*
Your answer
Postal Code
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
If you do not live in Hinton, are you a Yellowhead County Resident? (Brule, Carldale, & Cadomin only)
*
Yes
No
I am a resident of Hinton
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