Library Card Registration
Address: 296 Main Street Phone:(865)-992-7106
Full Name (First and Last): *
Your answer
Patron Level (please check one): *
Date Of Birth: *
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School: *
Grade level: *
Address: *
Your answer
Mailing Address (if different from above):
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Email:
Your answer
Phone: *
Your answer
Secondary phone number:
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I would prefer to be notified of my holds by: *
Required
Title VI Survey information please mark one (optional):
Acceptance of Responsibility (READ CAREFULLY PLEASE):
-I will be responsible for all materials checked out on this card, including materials checked out by others with or without my consent, unless I have previously reported the loss of my card.
-I will report a lost or stolen card, or any change of personal information (name, address, phone, email), immediately.
-I will Comply with all Library rules and policies.
-I understand that there will be charges for overdue, lost, damaged and stolen library materials.
-I understand that the library provides access to a broad range of resources and that it is my responsibility to judge for myself and for my children or minor defendants what resources are appropriate for my/our personal use.
I have read and understand the above list of statements: *
Please type your name in the line below: *
Your answer
Today’s date: *
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Parent or legal guardian please type your name here (if the card is for a juvenile aged 5-17):
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