Online Library Card Registration

Date / Time

Date

Time

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Age Group *

Please choose appropriate age group. Ids will be checked upon pick up of card. Parent or guardian signature required for those under 18.

Signature of Adult Applicant (or Parent/ Guardian if Applicant is under 18 years old)

By completing this form I apply for the right to use the Veterans' Memorial Library, I agree to comply with all of its rules and regulations, and I will give immediate notice of any change of address or contact information.