Keene Public Library - Adult Library Card Application

Adult Library Card Application

I apply for the right to use the Keene Public Library and agree to comply with all its rules and regulations. I also agree to give the Library immediate notice of any change of address. Violation of the Library’s rules and regulations could result in legal action.

Name(Required)

First Last

Physical Home Address. If mailing address is different please fill out the section below for Mailing Address(Required)

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

Mailing Address

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

Phone

Date of Birth(Required)

I agree to receive courtesy, overdue and hold notices by email and to notify the Library if my email changes.(Required)

Agree

Disagree

Signature(Required)

Use your mouse or finger to draw your signature above

Date

Assigned Designee

By filling out this line you are allowing this person to check out materials, pick up materials on hold, renew the account, renew materials, and access current checkouts as long as they have their government issued photo ID with them.

Digital Newsletter

Yes, send me a link to the digital newsletter options