Registration Form |

Please read our rules and regulations about how to Sign Up for a Card before completing the form below.

This form is for new patrons only. If you are already a patron and have lost your card, please bring a photo ID to the library to obtain a new one. The cost for replacement is $5.

Within 30 days of submitting the form bring in a form of identification that bears your name, current address and photo. A post office box mailing address is not acceptable. Children under the age of sixteen must have a parent’s signature on any initial application for a library card, and a parent must be present to register on their child’s behalf, as they will be responsible for any lost/damaged material on their child’s account.

Please allow two business days for processing.

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First Name

Last Name

Middle Initial

Street Address

City

State/Zipcode

Birthdate (mo/day/year)

Phone

Is the number above a

Home Phone

Cell Phone

Work Phone

Would you like Internet Privileges on the library's public computers?(required)

Yes

Email (Required if answering YES below)

Would you like to receive our bi-monthly email newsletter?

Yes

Additional Contact information or questions

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