Central City Public Library Online Card Application
Your library is funded by city and county funds.  Patrons who reside within Merrick County (or who own property in Merrick County) are provided Library cards free of charge.  
Patrons residing outside of Merrick County may purchase cards for the fee of $15 per year/per family.   We will email you an invoice for this amount.  Once this amount is received, your library card will be activated.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Middle Name
Last Name *
Address *
Telephone Number *
ID/DL # (Drivers License # or Identification Card #)
Birthdate (If Under 14 Years of Age)
MM
/
DD
/
YYYY
Parent/Guardian Typed Signature (Required If Applying for Child Under 14 Years of Age)
I hereby agree to obey all the rules and regulations of the library, to pay promptly all fines charged against me for the injury or loss of books, and to give immediate notice of any change of address. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy