Electronic Devices Borrowers Agreement
This form must be completed by adults age 18 and over. Anyone under the age of 18 must have a parent or guardian complete this form and list them as an "additional borrower" in the appropriate field below. This agreement is valid until the expiration date on the library card.

Cardholder's First Name *
Your answer
Cardholder's Last Name *
Your answer
Library Card Number *
This number can be found on the back of your card. Please include all numbers no spaces.
Your answer
Library Card Expiration Date *
This should be on the back of your card. If it is not, please ask a staff member to look up your expiration date.
Your answer
Additional Borrower's
If you wish to allow a minor child to checkout electronic devices on this account when you are not present, please list their first and last name in the space provided. Please be aware you will be financially responsible for any lost or damaged items checked out on this card regardless of who checks the item out.
Your answer
Borrowing Guidelines
By checking "I Agree" next to each of the following items you are acknowledging that you have read and understand the borrowing guidelines as presented.
Patrons must be 18 years of age to borrow these devices or they must be listed as an additional borrower in the appropriate field above. *
Devices must be returned to the Adult Services Desk at the Main Library with all accessories in the appropriate carrying case or box. Items may NOT be returned in the book drop. *
Devices must be returned within the specified loan period. *
There is a $5.00 per day late fee for all devices listed on this agreement. *
All fees for the replacement of lost or damaged items are the responsibility of the cardholder. *
Please refer to the Replacement Cost Schedule below for more information regarding fees for specific devices and components.
Borrowers may not de-register a Nook or Kindle that has already been registered with a Library account. *
It is the borrowers responsibility to clear their personal information from the device before returning to the Library. *
Replacement Cost Schedule
If an item is lost or damaged the cardholder will be charged for the replacement of the item in accordance with the schedule listed below.
In checking "I Agree" below you are agreeing to all of the terms outlined on this form including the Replacement Cost Schedule for lost or damaged items. *
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