Digital Library Card Application for Wabasha Public Library

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

After submitting this form, library staff will process your request and email your digital library card number to your email. This number, along with your PIN number, will enable you to use the library's online resources ONLY. To receive your physical library card, please stop at the Wabasha Public Library, and present your photo ID with proof of address to library staff. If you are under the age of 16, please have a parent or legal guardian with you when you stop at the library to obtain your physical card.

Email *

Last Name: *

First Name: *

Middle Name: *

Birth Date: *

YYYY

Address: *

City and Zip Code: *

State: *

Library cards are free to Minnesota residents. For non-residents, fee information will be sent in an email.

County: *

I live.... *

Inside the Wabasha City limits

in rural Wabasha County

outside of Wabasha County

Other:

Please enter a 4 digit PIN number: *

Email Address: *

Phone Number: *

How would you like to receive notifications from the library? *

Text message

If under 16 years old, parent or legal guardian's first and last name:

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Southeastern Libraries Cooperating. Report Abuse

Forms