Stoughton WISCONSIN Library Card Application

First name *

Last name *

Middle Initial *

Birthday *

Month

Day

Year

Address *

City *

State *

Zip *

Phone number *

I reviewed my email and telephone number and confirm they are correct. *

Yes

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

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 for Stoughton WISCONSIN Library Card *

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