Library Card Application – Child

For library card applicants age 17 and younger

Child's First Name / Nombre del niño:


Child's Middle Name:


Child's Last Name / Apellido del niño:

Mailing Address / Direccion:

City, State, Zip / Ciudad, Estado, Codiga Postal:


Other City, State, Zip not listed above

Phone / Telefono (Your preferred contact phone number)

* Optional - Other phone / Otro Telefono
(A second phone, home or cell, that you can be contacted by)

Your child's password will be their library card number unless you choose to change it to something else
* Optional - Password:

Passwords can be between 1 and 7 characters long, numbers or letters

Birth Date / Fecha de nacimiento

Your Email

Would you prefer to texted notifications about items on hold for your child or overdue items? YesNo

If yes
Your Mobile Phone #
Your Mobile Provider

Do you wish your child to be able to access the internet?
Desea que su hijo use las comutadoras?
YesNo

Guardian's Name / Nombre del padre o tutor

Relationship / Relacion del tutor

Does the Guardian already have a library card? YesNo

Other Comments

I hereby agree to obey all the rules and regulations of the public library and to pay promptly all fines charged against me for the injury or loss of any library items.

Estoy de acuerdo a obedecere todas las normas y reglamentos de la biblioteca y pagar puntualmente todas las multas cargadas en mi contra del daño o pérdida de libros u objetos

I Agree / Estoy De Acuerdo