I understand this application is for the Stoughton, WISCONSIN library Please choose one: I am applying for a new library card I am updating an expired library card I lost my my library card and need a replacement Other/Not Sure First name Last name Middle Initial Preferred First Name Leave blank if not applicable Birthday Address City State Zip Phone number Email I reviewed my email and telephone number and confirm they are correct. 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 Photo ID Upload 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. Upload requirementsOne file only.2 MB limit. Proof of address Upload If your photo ID doesn’t include your current address, upload proof of address. Upload requirementsOne file only.2 MB limit. 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? Submit Leave this field blank
