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Adult Library Card Pre-Registration

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Patrons under 18 year old must use the Youth/Teen Form.

Last Name:
First Name:
Middle Name:
Suffix (Jr, Sr, etc.):
Birthdate:
Month: Day: Year:
Address:
City:
State:
Zip:
Phone:

Area code first, no spaces or dashes
Mother's First Name (for identification):
E-mail address*:

(Leave blank if none)

*Submission of e-mail address will result in notifications four days before items are due, when they are overdue, and when items placed on hold are available for pick-up.

I accept responsibility for all materials charged to this card with or without my consent. I agree to observe all library rules; to promptly pay all charges; and to notify the library of any changes to this information.

I understand that all library materials, including books, audiovisual items, electronic databases and the Internet (World Wide Web), are available to all library users. I understand that I am responsible for my child's use of all library materials, including the Internet.

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