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Student Library Card Application

Parents/legal guardians are legally responsible for any overdue materials or fines/fees their child accrues at the library. Parents/legal guardians will be contacted regarding the confirmation of this application.

Student Legal Name:
Student Date of Birth:
Student Home Address:
Student City, State, Zip:
Student Phone:
Student Cell Phone Carrier:
Student Email Address: (for account notification )
Parent Legal Name:
Parent Driver License :
Parent Date of Birth:
Parent Home Address:
Parent City, State, Zip:
Parent Phone:
Parent Cell Phone Carrier:
Parent Email Address: (for account notification )