Library Card Application – Parents with children

For parents who want to apply for a card for themselves and for their children.

Parent's First Name / Nombre del Padre:


Parent's Middle Name:


Parent's Last Name / Apellido del Padre:

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 password will be your library card number unless you choose to change it to something else

* Optional - Your Password:

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

Your Birth Date / Fecha de nacimiento

Your Email

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

If yes
Your Mobile Phone #
Your Mobile Provider

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

 

1st Child

Child's First Name / Nombre del niño:


Child's Middle Name:


Child's Last Name / Apellido del niño:

Child's Birth Date / Fecha de nacimiento

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

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

 

2nd Child

Child's First Name / Nombre del niño:


Child's Middle Name:


Child's Last Name / Apellido del niño:

Child's Birth Date / Fecha de nacimiento

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

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

 

3rd Child

Child's First Name / Nombre del niño:


Child's Middle Name:


Child's Last Name / Apellido del niño:

Child's Birth Date / Fecha de nacimiento

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

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

 

4th Child

Child's First Name / Nombre del niño:


Child's Middle Name:


Child's Last Name / Apellido del niño:

Child's Birth Date / Fecha de nacimiento

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

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

 

5th Child

Child's First Name / Nombre del niño:


Child's Middle Name:


Child's Last Name / Apellido del niño:

Child's Birth Date / Fecha de nacimiento

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

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

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