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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 be texted notifications about items on hold for you or your children or for overdue items? YesNo

    If yes
    Your Mobile Phone #
    Your Mobile Telephone Provider (AT&T, PTCI, Sprint, Straight Talk, T-Mobile, Tracfone, United Wireless, etc.)

     

    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