Youth Library Card Application

When I write my name on this card, I promise to take good care of the books and other resources I use in the library and at home. I also promise to obey the rules of the library.

Name(Required)

First Last

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Date of Birth(Required)

School

To Be Filled Out By a Parent Or Legal Guardian

Parent/Guardian Name(Required)

First Last

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/Guardian Signature(Required)

Additional Parent/Guardian Name(Required)

First Last

Additional Phone