Library Card Application Form

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Please fill out the items below to have a library card issued. The information you provide will be emailed to the library director who will then activate your library card and contact you with your information and further instructions of picking up your card. The information you provide here is kept confidential.

Name *

Mailing Address, City, State, & Zip *

Phone *

Email *

Date of Birth *

YYYY

Preferred Method of Contact *

Phone Call

Required

Reading histories are protected by privacy laws. No reading history is recorded unless a patron requests it. If you do not select this option, no reading history will be kept. A reading history can be activated at any time.

Yes, please keep a reading history.

Message to your librarian

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