Adult Library Card Registration Form                           Hartland Public Library,                                     Vermont
For ages 16 and over
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Hartland Public Library
Last Name *
First Name *
Middle Name
Mailing Address (Street, City, State, Zip Code) *
Street/Physical Address (if different than mailing address)
Hartland Resident? *
Preferred Contact Phone Number *
Other Phone Number (if applicable)
E-mail Address
Would you like to receive overdue notices by email and/or text? (You may choose both.) *
If yes to receive overdue notices by text, please select your cellular provider (if your provider is not listed, we cannot provide text notices at this time), and provide your cell phone number above.
Emails are never shared. Would you like to sign up for our monthly events newsletter? *
Would you like to sign up for our weekly Wowbrary newsletter which lists new books, audio books, and DVDS at the library? *
Please check to indicate that you have read and agree to the following:
1. I agree to abide by the rules and policies of the library, and understand that Internet access and materials at this library for all users, including youth, are not filtered, censored, nor restricted.
2. I am responsible for all items borrowed from the Hartland Public Library for myself or my child.
3. If obtaining a card for a child, I have legal rights to do so.

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