Springfield Town Library: Registration for a library card for a student (below age 16)
PARENT OR GUARDIAN INFORMATION:
By filling out this form, you are applying for a library card for your child or ward at the Springfield Town Library with full privileges (downloadable/electronic and print resources).

You understand that children need to follow the library behavior guidelines and policies. Only children aged 8 and older are allowed in the library alone. Those under that age must be accompanied.

You agree to pay all fines or damages charged to your child or ward, including damage to any electronic devices. You will inform the Library if the child’s address or your contact information changes.

You declare that all information on this application is true and you have the legal rights to obtain a card for the child or student.

Please note that at this time we can only provide library cards to those who reside in Springfield, VT or North Springfield, VT
In order to complete your registration you will need to email a photo of either your driver's license or piece of mail verifying your address. Please send that image to stlcirc@vermontel.net
Last name *
First name *
Child's birthdate
MM
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DD
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YYYY
Child's school
Child's grade
Mailing address *
Street address, if different from above.
Town of residence *
If you would like emails regarding holds which are waiting for your child/ward or items that are overdue, etc., please provide your Email address.
Home Phone number
Cell Phone number
If you would like text messages regarding holds which are waiting for your child/ward or items that are overdue, please give us your provider (AT&T, Verizon, etc.)
Does your child/ward have permission to use computers, electronic devices, and the internet in the Library? Parents and guardians are responsible for supervising their children. Internet access for all users, including youth, is not filtered, censored or restricted at the library. *
Do you consent to the participation in the taking of photographs of this child, and grant to the Springfield Town Library the right to edit, use and reuse photos for non-profit purposes including use in print, on the internet, and all other forms of media? By agreeing, you also hereby release the Springfield Town Library and its agents and employees from all claims, demands and liabilities whatsoever in connection with the above. *
Are you interested in receiving the weekly email newsletter (Wowbrary) which has notification of our newly added items and other library news? *
Please sign your child's full name (as a digital signature) to indicate that the information you have provided is true.
Please sign your full name (as a digital signature) to indicate that the information you have provided is true and you agree to be responsible for all overdue fines and lost/damaged library materials for your child/ward. Look for an email in the next 24-48 hours with your new library card number so you can begin using our electronic resources. Your physical card will be mailed to the address you have entered above.
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