First name * Last name * Middle Initial * Birthday * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year19211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021 Address * City * State * Zip * Phone number * Email How would you like to be notified about your holds? * Email (same day) Text (next day) Phone call (next day) Would you like an email reminder 2 days before your items are due? * Yes No Would you like to subscribe to the library's e-newsletter? * Yes No Photo ID * Upload a photo of your driver's license if you are 16 or older. Applicants under the age of 16 need parent or guardian's driver's license.Files must be less than 2 MB.Allowed file types: gif jpg jpeg png pdf. Proof of address If your photo ID doesn’t include your current address, upload proof of address.Files must be less than 2 MB.Allowed file types: gif jpg jpeg png pdf. Terms Acceptance of responsibility * I will be responsible for all materials checked out on this card, including materials checked out by others with or without my consent, unless I have previously reported the loss of my card. I will report a lost or stolen card, or any change of personal information (name, address, phone, email) immediately. I will comply with all library rules and policies. I understand that there will be charges for overdue, lost, damaged and stolen library materials. I understand that the library provides access to a broad range of resources and that it is my responsibility to judge for myself and for my children or minor dependents what resources are appropriate for my/our personal use. I agree to these terms and responsibilities. Notes Are you requesting a new card, replacement card, address change, or name change? Leave this field blank