ContractLibrary Card Agreement • November 10th, 2016
Contract Type FiledNovember 10th, 2016Office Use Only: PETPUB PETTWN PETTEMP PETNR6MOS PETNONRES cat1: BC LT PET SV RT Other: Initials: Last Name: First: Middle Initial: Create a 4-digit PIN: Birth date: Cell phone: ( ) Other phone: ( ) Street: City/State/Zip Email: How would you like to receive library notices [ ] Text Message OR [ ] Email I am interested in events for: [ ] ADULTS [ ] TWEEN/TEEN [ ] CHILDREN Library Card Agreement: I agree to be responsible for library materials, fines, damaged and lost items. I give consent for other family members to view and access my group account. (Initials) Signature: Date: APPLICANTS UNDER AGE 13, PARENT/LEGAL GUARDIAN MUST INITIAL AND SIGN AGREEMENT BELOW I agree to be responsible for the library materials checked out on the card of the minor child named above. I will pay for fines and lost materials. (Initials) I give consent for this child’s library records to be released to me if items are overdue or lost. (Initials)I give consent for my child to use the Internet in