| Page 917 | Albert Wisner Public Library

Online Library Card Application Form

In applying for a library card at Albert Wisner Public Library for myself or my child, I agree that:

Name *

Date of Birth *

Month

Day

Year

Street Address *

Mailing Address *

City/State/Zip Code *

Home Phone w/area code *

Cell Phone w/area code *

E-mail *

PIN (Minimum 7 characters, including at least 1 uppercase letter, 1 lowercase letter, and 1 digit) for account access *

School District in Which I Reside *

Notification Method for Holds (email, phone call or text message) *

The following person has permission to pick up materials reserved on this card:

Parent's Name (for child's card only)

Grant/Deny Internet access (for Juveniles and Teens through age 17)

grant

deny

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