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 * Birthday * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year19221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022 Address * City * State * Zip * Phone number * Email 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 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 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