Imperial Public Library - Library Card Application
Library Cards are free and available to Imperial Valley residents. Children need a parent/legal guardian signature for responsibility.
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Name (First & Last) *
Address (Example: 123 Main Street) *
City *
State *
Zip Code *
E-mail Address
Phone Number *
Phone Carrier (example: Verizon)
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Date of Birth *
MM
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DD
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YYYY
Driver's License Number (Parent/Guardian if application is for a child) *
I apply for the right to use the library and will abide by its rules. I will pay fines or damages charged to me and give prompt notice of change in address, phone or loss of library card.
By typing my name below, I understand that I am responsible for all materials checked out on this card and that I am the only authorized user of this card. *
As a parent/guardian, by typing my name below I agree to be responsible for my child's materials and any fees or charges. Any restriction of my child's library materials is my responsibility as the parent/legal guardian.
INTERNET USE AGREEMENT: By typing my name below I understand and will abide by the City of Imperial Public Library's Internet Use Policy. I further understand that any violation of the regulations is unethical and may constitute a criminal offense. Should I commit any violation, my access privileges will be revoked an appropriate legal action may be taken.
As the parent or guardian of this individual, I accept full responsibility for my child's use of the City of Imperial Public Library's Internet service and agree to oversee my child's use of this service. I have read the Internet Use Policy and I understand that the library's access to the internet is intended and designed for educational and informational purposes. I understand that if my child is under the age of eight, they must have adult supervision while using the library computers and internet. I also understand that this supervision is my responsibility and not the responsibility of the library or library staff. I will not hold the library responsible for the materials or information acquired by my child through the use of the library's internet service.
By typing my name below I hereby give permission for my child to use the library's  network for the internet access and certify that the information contained on this form is correct.
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