Children's Library Card Application

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I verify that all information on this form is true and accurate, and agree to all the rules and regulations of the library.

Please list the Parent's Email.

Correo *

Name *

First and last name

Address *

City *

State and Zip Code *

Email *

Birth Date *

AAAA

Parent's Phone number *

Mobile Phone Provider

Notification Preference *

Text (Make sure to fill in Mobile Phone Provider)

Phone

Obligatorio

Would you like to receive our monthly newsletter via email? *

Yes

Obligatorio

Parent's or Guardian's Name *

Check yes or no if your child is allowed to use the Internet. *

Yes

Obligatorio

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