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 )