*indicates required field

Name*

Preferred Name

Date of Birth*

Address*

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Phone Number

Cell Phone Number (required if youw would like to receive text notifications)

Email Address*

Adult Events
YesNo

Children’s Events
YesNo

Residency Requirement

Yes, I understand I need to provide proof of identity and residence in-person at the library before my card is activated. I will bring in the proper form(s) of ID so the Library can activate my card. I attest to the fact that I am 18 years or older. I agree to comply with the regulations of the library. I accept responsibility for all use of this card including any fines or fees. Thank you for your interest in our library. You will be contacted as soon as your card is ready.