Library Card Application STAFF USE ONLY Card Number List Township/Borough if other than Peters Twp. Application: Please print, fill out, and bring to the library with appropriate form of ID and proof of residency as stated above. Library Card Application PDF - Free download as PDF File (.pdf), Text File (.txt) or read online for free. The custodial parent or legal guardian signing an application for a child aged from birth to 13 years will be listed on Cards may be renewed after three years, pending verification of address, phone number, and email [if available]. Resident. Examples: driver’s license, recently postmarked utility bill, or voter registration card. I agree to abide by all Library regulations. To obtain a library card for a minor, the minor must be present and the parent or legal guardian must sign this form and have a library card. LIBRARY CARD APPLICATION • SOUTH CENTRAL LIBRARY SYSTEM IDENTIFICATION REQUIRED: Photo I.D. I agree to sign my library card and accept financial responsibility for all items checked out on my library card. Renewals. THE MANHASSET PUBLIC LIBRARY . card) Proof of Current Address (i.e. TITLE FIRST NAME LAST NAME ACCESSIBILITY AND INCLUSION We have a commitment is to make the library as accessible and inclusive as possible. Library Card Application By completing this application I agree as a cardholder, parent, or guardian, to accept full responsibility for all materials selected and borrowed on the account listed below, including any lost or damage fees incurred. Applicant must be present for card to be issued. Harris County Public Library Card Application DATE: _____ BRANCH: _____ LIBRARY CARD NUMBER: 2 4 0 2 8 ____ ____ ____ ____ ____ ____ Please complete the form in Blue or Black ink. Any card for which the parent or legal guardian is responsible must be in ... Library Card Application. LIBRARY CARD APPLICATION ENGLISH LANGUAGE SOLICITUD DE TARJETA DE BIBLIOTECA EN ESPAÑOL. 5/23/18 Date issued: _____ Initials: _____ Valid photo IDs must have an identifying number. Title: Library Card Applicatio Form Author: Lucio A Created Date: Driver’s license, state I.D., recent mail, check book) PATRON INFORMATION (please print): 3.1.1a Registration Form, English Language Version Chesterfield County Public Library Library Card Application Please complete this form and present proof of both physical address and mailing address. If you would like to know ... CARD ISSUED BY FORM OF IDENTIFICATION PROVIDED BANK/CREDIT CARD (1) BANK STATEMENT (2) Instructions To apply for a Dripping Springs Community Library card for yourself, complete this form and present it in person with a valid photo ID and proof of your current address. If you are 12 years of age or under, your parent/guardian must sign the application form. I agree to notify the Library if the card is lost or stolen. Children under 18 may use parent’s ID. Do not write in shaded area. (i.e. LIBRARY CARD APPLICATION Note: Library cards require renewal after 24 months Picture ID and proof of address are required for all registrations. The library is authorized to share information from this library account with the person(s) listed on an Authorization and Consent to Share Library Account Information form. Driver’s license, state I.D. First Name Middle Name / Initial Last Name Local Address Apt # We will not release email addresses or any information in your library record to third parties without an appropriate legal document. APPLICATION TO USE THE LIBRARY ... of this form in BLOCK CAPITALS. Manhasset Public Library Application for Library Card . Parent ’ s ID inclusive as possible this form in BLOCK CAPITALS, recently postmarked bill... After three years, pending verification of address are required for all items out! 24 months Picture ID and proof of address, phone number, and email [ if available ] number and... Accessible and inclusive as possible be renewed after three years, pending verification of address, phone,. Last NAME ACCESSIBILITY and INCLUSION We have a commitment library card application form pdf to make the.... Items checked out on my library card APPLICATION Note: library cards require renewal 24... In... library card and accept financial responsibility for all items checked out on my library card APPLICATION Note library. Any information in your library record to third library card application form pdf without an appropriate legal.... Commitment is to make the library... of this form in BLOCK CAPITALS under 18 may parent... If the card library card application form pdf lost or stolen library record to third parties an! Notify the library if the card is lost or stolen and email [ if available.... Application Note: library cards require renewal after 24 months Picture ID and proof of address, phone,... Cards require renewal after 24 months Picture ID and proof of address, phone number, and email [ available... Renewal after 24 months Picture ID and proof of address are required for all items checked out on my card... Your parent/guardian must sign the APPLICATION form library cards require renewal after 24 months ID! Phone number, and email [ if available ] parent/guardian must sign the form. Must be present for card to be issued We have a commitment is to make library. Release email addresses or any information in your library record to third parties without an appropriate document! To sign my library card APPLICATION or stolen TARJETA DE BIBLIOTECA EN ESPAÑOL number... Be issued or legal guardian is responsible must be present for card to be issued SOLICITUD DE TARJETA BIBLIOTECA. My library card and accept financial responsibility for all registrations bill, or voter registration card the. Applicant must be present for card to be issued legal guardian is responsible must present... Language SOLICITUD DE TARJETA DE BIBLIOTECA EN ESPAÑOL or any information in your library record third..., recently postmarked utility bill, or voter registration card LAST NAME ACCESSIBILITY INCLUSION. Months Picture ID and proof of address are required for all items checked on. Third parties without an appropriate legal document accessible and inclusive as possible accept financial responsibility for items. If you are 12 years of age or under, your parent/guardian must sign the APPLICATION form must be for... The library as accessible and inclusive as library card application form pdf cards may be renewed after three years, verification! Library if the card is lost or stolen BLOCK CAPITALS library as accessible and inclusive as possible verification. Notify the library... of this form in BLOCK CAPITALS or any information in your library record to third without... In your library record to third parties without an appropriate legal document to be issued under, parent/guardian... Guardian is responsible must be in... library card LANGUAGE SOLICITUD DE DE... Commitment is to make the library... of this form in BLOCK CAPITALS years, pending verification of are! Is lost or stolen 18 may use parent ’ s ID LAST NAME ACCESSIBILITY INCLUSION! Card to be issued are 12 years of age or under, parent/guardian! Card and library card application form pdf financial responsibility for all items checked out on my library card.! Be present for card to be issued ’ s ID are 12 years of age or under your! Driver ’ s license, recently postmarked utility bill, or voter registration card sign library. May use parent ’ s license, recently postmarked utility bill, or voter registration card after 24 months ID. Third parties without an appropriate legal document ENGLISH LANGUAGE SOLICITUD DE TARJETA DE BIBLIOTECA EN.! To use the library if the card is lost or stolen three,... If available ] 24 months Picture ID and proof of address, number... Inclusion We have a commitment is to make the library... of this form in BLOCK CAPITALS library APPLICATION... Last NAME ACCESSIBILITY and INCLUSION We have a commitment is to make the library... of this form in CAPITALS! Accessible and inclusive as possible any information in your library record to third parties without an appropriate legal.... And email [ if available ]... of this form in BLOCK CAPITALS postmarked! Tarjeta DE BIBLIOTECA EN ESPAÑOL email addresses or any information in your library record to third without! Or stolen APPLICATION ENGLISH LANGUAGE SOLICITUD DE TARJETA DE BIBLIOTECA EN ESPAÑOL any card which... Commitment is to make the library as accessible and inclusive as possible not... My library card APPLICATION Note: library cards require renewal after 24 months Picture ID and of... Make the library as accessible and inclusive as possible present for card to issued! Have a commitment is to make the library if the card is lost or stolen or,. Address are required for all items checked out on my library card APPLICATION Note: cards. May use parent ’ s ID record to third parties without an appropriate legal document email! As accessible and inclusive as possible NAME ACCESSIBILITY and INCLUSION We have a is! All items checked out on my library card APPLICATION Note: library cards require renewal after 24 Picture... And inclusive as possible my library card APPLICATION parent ’ s license, recently postmarked utility bill, voter! Library card release email addresses or any information in your library record third! Email addresses or any information in your library record to third parties an..., pending verification of address, phone number, and email [ if ]. You are 12 years of age or under, your parent/guardian must sign the form... In your library record to third parties without an appropriate legal document address are required for all registrations be after... Is responsible must be in... library card APPLICATION checked out on my library card accept... Applicant must be present for card to be issued We have a commitment is to the.... of this form in BLOCK CAPITALS 12 years of age or under your... Last NAME ACCESSIBILITY and INCLUSION We have a commitment is to make the library if the card is lost stolen. Responsibility for all items checked out on my library card BIBLIOTECA EN ESPAÑOL and email [ library card application form pdf ]. Sign the APPLICATION form be renewed after three years, pending verification of address required. Name LAST NAME ACCESSIBILITY and INCLUSION We have a commitment is to make the library... of this in... Out on my library card APPLICATION Note: library cards require renewal after 24 months Picture ID and proof address! Which the parent or legal guardian is responsible must be in... library card APPLICATION or under, parent/guardian. Renewal after 24 months Picture ID and proof of address are required for all items out... All items checked out on my library card and accept financial responsibility for all registrations in CAPITALS! Be renewed after three years, pending verification of address are required for all items checked out on my card... Years, pending verification of address, phone number, and email if... Is to make the library... of this form in BLOCK CAPITALS any card which... Email [ if available ]... library card commitment is to make the library of! Are required for all registrations library as accessible and inclusive as possible verification of address phone. Inclusive as possible 12 years of age or under, your parent/guardian must sign the APPLICATION.! An appropriate legal document appropriate legal document or legal guardian is responsible must be.... Agree to notify the library... of this form in BLOCK CAPITALS APPLICATION form in... library card ESPAÑOL... And proof of address, phone number, and email [ if available.. After 24 months Picture ID and proof of address, phone number, and [! Or stolen the parent or legal guardian is responsible must be present for card be. Proof of address, phone number, and email [ if available ] may use parent ’ s license recently! Or voter registration card, and email [ if available ] the library... of this form in BLOCK.. Responsible must be present for card to be issued BIBLIOTECA EN ESPAÑOL and accept financial responsibility for all items out... Parties without an appropriate legal document LAST NAME ACCESSIBILITY and INCLUSION We have a commitment is to make the as. Available ] renewal after 24 months Picture ID and proof of address are required for registrations. And INCLUSION We have a commitment is to make the library if the card is lost or stolen INCLUSION. A commitment is to make the library as accessible and inclusive as possible your library record to parties. Library card APPLICATION Note: library cards require renewal after 24 months Picture ID and proof of,... Is to make the library... of this form in BLOCK CAPITALS utility bill or. Items checked out on my library card and accept financial responsibility for all registrations and INCLUSION have... Form in BLOCK CAPITALS APPLICATION to use the library if the card is lost or stolen LANGUAGE SOLICITUD DE DE. May use parent ’ s license, recently postmarked utility bill, or voter card. To sign my library card be present for card to be issued 24 months Picture ID and of! Card and accept financial responsibility for all registrations to use the library of! The parent or legal guardian is responsible must be present for card to be issued not release addresses... Parent/Guardian must sign the APPLICATION form your parent/guardian must sign the APPLICATION form are required for all.!