RSL - Get a library card!

Fill out the form below to get a library card.

What type of card are you applying for?

What type of card are you applying for? Adult (Age 14+) Child (Kindergarten - Age 13)
Is your mailing and physical address the same?

Is your mailing and physical address the same? Yes No
Do you and the child share the same addresses?

Do you and the child share the same addresses? Yes No
Are the child's mailing and physical addresses the same?

Are the child's mailing and physical addresses the same? Yes No
Name
Child Name
Date of Birth Date of Birth / MM / DD YYYY
Child Date of Birth Child Date of Birth / MM / DD YYYY
Telephone Telephone - ### - ### ####
Email
Physical Address Physical Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Mailing Address Mailing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Child Physical Address Child Physical Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Child Mailing Address Child Mailing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Signature

I understand this is a legally enforceable representation of my signature. By signing this form, I agree to apply for the right to use the library card and abide by its rules. I agree to pay any fines or damages charged to me and to give prompt notice of any change of address. Library records are confidential and will not be shared except by court order.
Draw (or choose type) your signature into the box below.

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Full Name

RSL - Get a library card!

RSL - Get a library card!

Signature