Library Card Registration
Address: 296 Main Street     Phone:(865)-992-7106
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Email *
Full Name (First and Last): *
Patron Level (please check one):     *
Date Of Birth: *
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School:     *
Grade level:     *
Address: *
Mailing Address (if different from above):    
Phone: *
Secondary phone number:  
I would prefer to be notified of my holds by:   *
Required
Title VI Survey information please mark one (optional):
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Acceptance of Responsibility (READ CAREFULLY PLEASE):    
-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 defendants what resources are appropriate for my/our personal use.
Do you agree to our Internet policy? If you are an adult filling out the form for a child by agreeing here you are allowing your child unsupervised internet access on the library Computers. Policy outlined here: https://docs.google.com/document/d/1SnhTzLWQjj8sBmKU3p1b9TD-uEES57Q1t1C_Wv-n_6o/edit?usp=sharing *
I have read and understand the above list of statements: *
Please type your name in the line below: *
Today’s date: *
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Parent or legal guardian please type your name here (if the card is for a juvenile aged 5-17):    
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