Library Card Application Form
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.
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Name *
Mailing Address, City, State, & Zip *
Phone *
Email *
Date of Birth *
MM
/
DD
/
YYYY
Preferred Method of Contact *
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.
Message to your librarian
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