Chickasha Public Library Student  Virtual Card Application
Parent/Legal Guardian should fill out this form if they wish for their child or teen to have access to the Chickasha Public Library's virtual material. A virtual card provides access to all of the Library's virtual content, including the Oklahoma Virtual Library and Brainfuse Help now (online tutoring). PHY Once we process your application, you will receive an email with your card number and instruction on how to get started on each database.  If you have questions, please email us at or call the Library at 405-222-6075.
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Student's Name (Last name, first name, example, Smith, Jane) *
Email address *
Address *
City and Zip Code *
Telephone number *
Student's Birthday *
School Name *
Parent/Legal Guardian Name *
Parent/Legal Guardian Address *
Parent/Legal Guardian, please check the box if you agree to allow your child or teen to have a Chickasha Public Library virtual access card, and understand it provides access to all of the Chickasha Public Library's online content. *
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