Bookmobile Library Card Application

Bookmobile Library Card Application

  1. Bookmobile Library Card Application (For Residents located in Nursing Homes and/or Assisted Living Communities Only!)

    To register for a library card, you will need to complete this form and provide current identification with proof of your address.  The information on this form is used to maintain a complete list of library patrons and will be used to record the location of library materials.

  2. PATRON INFORMATION
  3. List who you enjoy reading along with key terms as to what type of materials you enjoy reading. Example: Romance, Nora Roberts, paranormal

  4. I agree to be responsible for materials borrowed with this card, for all fines incurred, and for loss and/or damage of materials charged to it.

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  6. This field is not part of the form submission.