Henry Public Library
COVID-19 Temporary Card Registration
Email address *
Name (First - Middle Initial - Last) *
Your answer
Address *
Your answer
Phone Number *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
User Agreement *
I apply for the right to use Henry Public Library, and I agree to comply with all of its policies, rules, and regulations. I understand that at the end of the COVID-19 Stay-at-Home order, this card will expire and I will need to reapply for a permanent card.
Required
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