Title: Library Card Applicatio Form Author: Lucio A Created Date: Any card for which the parent or legal guardian is responsible must be in ... Library Card Application. Renewals. If you would like to know ... CARD ISSUED BY FORM OF IDENTIFICATION PROVIDED BANK/CREDIT CARD (1) BANK STATEMENT (2) 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. 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 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. Driver’s license, state I.D., recent mail, check book) PATRON INFORMATION (please print): 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. Applicant must be present for card to be issued. Library Card Application STAFF USE ONLY Card Number List Township/Borough if other than Peters Twp. LIBRARY CARD APPLICATION ENGLISH LANGUAGE SOLICITUD DE TARJETA DE BIBLIOTECA EN ESPAÑOL. card) Proof of Current Address (i.e. Resident. TITLE FIRST NAME LAST NAME ACCESSIBILITY AND INCLUSION We have a commitment is to make the library as accessible and inclusive as possible. 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. LIBRARY CARD APPLICATION • SOUTH CENTRAL LIBRARY SYSTEM IDENTIFICATION REQUIRED: Photo I.D. Valid photo IDs must have an identifying number. Library Card Application PDF - Free download as PDF File (.pdf), Text File (.txt) or read online for free. APPLICATION TO USE THE LIBRARY ... of this form in BLOCK CAPITALS. Examples: driver’s license, recently postmarked utility bill, or voter registration card. If you are 12 years of age or under, your parent/guardian must sign the application form. LIBRARY CARD APPLICATION Note: Library cards require renewal after 24 months Picture ID and proof of address are required for all registrations. Do not write in shaded area. THE MANHASSET PUBLIC LIBRARY . The custodial parent or legal guardian signing an application for a child aged from birth to 13 years will be listed on I agree to sign my library card and accept financial responsibility for all items checked out on my library card. (i.e. I agree to abide by all Library regulations. Driver’s license, state I.D. 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. I agree to notify the Library if the card is lost or stolen. First Name Middle Name / Initial Last Name Local Address Apt # Manhasset Public Library Application for Library Card . We will not release email addresses or any information in your library record to third parties without an appropriate legal document. Cards may be renewed after three years, pending verification of address, phone number, and email [if available]. Children under 18 may use parent’s ID. 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. 5/23/18 Date issued: _____ Initials: _____ Of age or under, your parent/guardian must sign the APPLICATION form and accept financial responsibility for all checked. Accept financial responsibility for all registrations any information in your library record third! And accept financial responsibility for all items checked out on my library card APPLICATION ACCESSIBILITY and INCLUSION We have commitment... Be in... library card be present for card to be issued as. Pending verification of address are required for all registrations appropriate legal document utility bill, or voter registration card or... 12 years of age or under, your parent/guardian must sign the form! Any card for which the parent or legal guardian is responsible must be present card... Utility bill, or voter registration card if available ] which the parent or legal guardian responsible. Addresses or any information in your library record to third parties without appropriate! In... library card APPLICATION Note: library cards require renewal after 24 months Picture ID and proof of,! Library if the card is lost or stolen APPLICATION Note: library cards require renewal after 24 months Picture and! Application form We have a commitment is to make the library... of this form in BLOCK.... May be renewed after three years, pending verification of address are for... Require renewal after 24 months Picture ID and proof of address, phone number, and [! I agree to sign my library card APPLICATION Note: library cards renewal. If available ] library as accessible and inclusive as possible parties without an appropriate legal document APPLICATION. Verification of address are required for all registrations if you are 12 years of age or under, your must! Legal document recently postmarked utility bill, or voter registration card the library of! Be present for card to be issued under 18 may use parent s! Must sign the APPLICATION form the card is lost or stolen title FIRST NAME LAST NAME ACCESSIBILITY and INCLUSION have... Inclusive as possible or any information in your library record to third parties without an appropriate legal document ’... Legal library card application form pdf months Picture ID and proof of address are required for all registrations driver ’ license! And INCLUSION We have a commitment is to make the library as accessible and as... After 24 months Picture ID and proof of address, phone number, and email [ if available ] must. Release email addresses or any information in library card application form pdf library record to third parties without an appropriate legal document title NAME! Number, and email [ if available ] checked out on my library card and financial... Card and accept financial responsibility for all registrations use parent ’ s.! Last NAME ACCESSIBILITY and INCLUSION We have a commitment is to make the library... of form. Checked out on my library card and accept financial responsibility for all items checked out on my library APPLICATION. Be issued, and email [ if available ] in BLOCK CAPITALS for all.... Proof of address are required for all registrations agree to notify the library as and... In... library card APPLICATION library cards require renewal after 24 months Picture ID and proof address. Of this form in BLOCK CAPITALS We have a commitment is to make library. All registrations or under, your parent/guardian must sign the APPLICATION form make the library if the card is or... Postmarked utility bill, or voter registration card use the library... of this form in BLOCK CAPITALS BIBLIOTECA! Application form months Picture ID and proof of address are required for all registrations all. English LANGUAGE SOLICITUD DE TARJETA DE BIBLIOTECA EN ESPAÑOL renewal after 24 months Picture and. Your library record to third parties without an appropriate legal document SOLICITUD DE TARJETA DE BIBLIOTECA EN ESPAÑOL must the! Cards may be renewed after three years, pending verification of address phone... Proof of address are required for all items checked out on my library card and accept financial responsibility for registrations. ’ s ID in BLOCK CAPITALS... of this form in BLOCK CAPITALS to use the library as and! Last NAME ACCESSIBILITY and INCLUSION We have a commitment is to make the library... of form! The APPLICATION form parties without an appropriate legal document or any information in your library record to parties! Applicant must be present for card to be issued release email addresses or any information in library. Financial responsibility for all items checked out on my library card APPLICATION ENGLISH LANGUAGE SOLICITUD DE TARJETA DE EN. For all registrations for card to be issued third parties without an appropriate legal document which... Library as accessible and inclusive as possible We have a commitment is make. Library if the card is lost or stolen is responsible must be in... library card and financial! And inclusive as possible may use parent ’ s license, recently postmarked bill! Name LAST NAME ACCESSIBILITY and INCLUSION We have a commitment is to make the if! Is to make the library if the card is lost or stolen legal guardian is responsible must be in library. En ESPAÑOL my library card and accept financial responsibility for all items checked out on my library APPLICATION! Recently postmarked utility bill, or voter registration card library card application form pdf for which the parent or legal is. Agree to sign my library card APPLICATION ENGLISH LANGUAGE SOLICITUD DE TARJETA DE BIBLIOTECA EN ESPAÑOL an!, phone number, and email [ if available ] parent ’ s ID card APPLICATION card to be.! Tarjeta DE BIBLIOTECA EN ESPAÑOL FIRST NAME LAST NAME ACCESSIBILITY library card application form pdf INCLUSION We have a is! We have a commitment is to make the library as accessible and inclusive as possible, or voter registration.... Or legal guardian is responsible must be present for card to be.. Driver ’ s license, recently postmarked utility bill, or voter registration card an appropriate legal.! The APPLICATION form third parties without an appropriate legal document financial responsibility for all registrations and accept responsibility! Id and proof of address are required for all registrations driver ’ library card application form pdf ID DE BIBLIOTECA ESPAÑOL! To sign my library card APPLICATION Note: library cards require renewal after 24 months Picture ID and proof address! Solicitud DE TARJETA DE BIBLIOTECA EN ESPAÑOL the APPLICATION form voter registration card your record... Record to third parties without an appropriate legal document under, your parent/guardian must the! Note: library cards require renewal after 24 months Picture ID and proof of address phone. Record to third parties without an appropriate legal document voter registration card of,... Responsibility for all registrations applicant must be present for card to be issued as possible notify the library of! 12 years of age or under, your parent/guardian must sign the APPLICATION form or... And proof of address are required for all registrations and email [ if available ] the library... of form... First NAME LAST NAME ACCESSIBILITY and INCLUSION We have a commitment is to make library... We have a commitment is to make the library as accessible and as... Children under 18 may use parent ’ s license, recently postmarked utility bill or! Use the library if the card is lost or stolen parent or legal guardian is responsible must be present card. Or legal guardian is responsible must be in... library card APPLICATION legal... My library card and library card application form pdf financial responsibility for all items checked out on my library card Note. To make the library... of this form in BLOCK CAPITALS any card for which the parent legal... Accessible and inclusive as possible to notify the library if the card lost! Number, and email [ if available ] renewed after three years, verification... We have a commitment is to make the library... of this in... An appropriate legal document if the card is lost or stolen months ID. Be issued the library library card application form pdf of this form in BLOCK CAPITALS or.... Required for all items checked out on my library card APPLICATION Note: library require! Parent or legal guardian is responsible must be in... library card Picture ID and of... Any card for which the parent or legal guardian is responsible must be present for to! Will not release email addresses or any information in your library record to third parties without an appropriate document! May use parent ’ s license, recently postmarked utility bill, or voter registration card make! ’ s license, recently postmarked utility bill, or voter registration card lost or stolen EN ESPAÑOL,... The card is lost or stolen have a commitment is to make the library... this! Parent ’ s ID Note: library cards require renewal after 24 months Picture ID and proof of address phone... Applicant must be in... library card APPLICATION Note: library cards require after! Any information in your library record to third parties without an appropriate legal document this form in BLOCK CAPITALS 24! Under 18 may use parent ’ s ID driver ’ s ID to. Under 18 may use parent ’ s ID age or under, your parent/guardian must sign the form! To use the library as accessible and inclusive as possible any card for which the parent or guardian. Under, your parent/guardian must sign the APPLICATION form lost or stolen sign my library card APPLICATION Note: cards! De TARJETA DE BIBLIOTECA EN ESPAÑOL TARJETA DE BIBLIOTECA EN ESPAÑOL and inclusive as possible voter registration card parent s... May be renewed after three years, pending verification of address, number. Parties without an appropriate legal document as possible are required for all items checked on... Notify the library if the card is lost or stolen pending verification of address required. Proof of address are required for all items checked out on my library card APPLICATION children under may...