Library Card Sign-Up

*LAST NAME (required)

*FIRST NAME (required)

*MIDDLE NAME INITIAL (required)

*MAILING ADDRESS

*STREET ADDRESS (required)

*CITY (required)

*STATE (required)

*ZIP CODE (required)

If mailing address is a P.O. Box please enter your physical street address below:

*BIRTH DATE (required)

*HOME PHONE (required)

CELL PHONE

*EMAIL ADDRESS (required)

How Would You Like the Library to Contact You? Choose one.
Home PhoneCell Phone CallCell Phone TextEmail

Would You Like to Receive Emails About Upcoming Programs & New Services?
YESNO

*Acceptance (required)
By clicking here, I hereby apply for a library borrower's card and agree to abide by the regulations of the library.

*If YOU ARE UNDER THE AGE OF 18, please note your parent/guardian's full name (First Name & Last Name)

**Please Note: The parent/guardian noted above: is responsible for all materials borrowed on this card until the borrower reaches the age of 18; approves the use of any library resources including, but not limited to, the library's public internet workstations; and that assures their child abides by the regulations of the library.
**Please Note: For new borrowers under the age of 18, a Parent/Guardian Signature is Required to get a permanent card. We will issue a 30-day temporary card to you now & follow up with a letter to your home.