Library Borrower Registration
I hearby apply for borrowing privileges at any or the participating MORE libraries. By signing this card I agree to comply with the policies or each member library with which I do business.
By become a MORE library cardholder, I accept the following responsibilities:
*Any library materials checked out on my card are my sole responsibility.
*I will promptly return all borrowed items by the due date or pay overdue charges.
*I will pay any replacement costs assessed for lost, unreturned or damaged materials.
*I will not lend my library card to others.
*I will promptly report any change in address.
*I will promptly report a lost or stolen card.
*I will obey the rules of behavior when visiting the library.
*If signing a library card application for a juvenile, I accept responsibility for fines and charges on that child's card and acknowledge that it is my responsibility, not the library's, to monitor and approve my child's choice of library materials and/or other information resources.
*I understand that I can request library records for my custodial child/ward under 16 (WI ST 43.30).
Name (Last, First, Full middle)
Parent/Guardian (if borrower under 18)
Street Address (Include City, State, Zip)
I reside in
City of Augusta
Town of Bridge Creek
Town of Ludington
Town of Lincoln
City of Fairchild
City of Fall Creek
Mailing Address (Include City, State, Zip)
Same as Street Address
Date of Birth
Preferred Method of Contact for Holds and Overdue Notices
I am interested in getting library and Friends of the library information sent to my email.
Please add me to the Library e-newsletter list
Please send me Friends of the library information
I understand that failure to act responsibly may result in suspension of my library borrowing and use privileges, and that failure to pay library fines or return library materials may result in local and state criminal penalties. (Type your name below to acknowledge this statement.)
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This form was created inside of Augusta Memorial Public Library.