Youth Library Card Application - McPherson Public Library

Name *

First

Middle

Last

Preferred Name (If different than above)

Have you had a card with us before? *

Date of Birth of Cardholder *

Mailing Address *

Address Line 1

City

State

Zip Code

Please note: if you are not a resident of Kansas, you will not be eligible for a library card through us.

Preferred Phone #

Email Address

Preferred method for necessary communications (choose one) *

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Select a 4-digit PIN number

If no PIN is entered here, your library card PIN will be set to the last 4 numbers of your phone number.

Name *

First

Middle

Last

Mailing Address

Address Line 1

City

State

Zip Code

Photo ID # *

If this is not a current Kansas ID, you will be asked to show proof of current address.

Preferred Phone Number

Agreement *

I give permission for this minor to borrow materials and use services offered by McPherson Public Library. I understand that this minor must follow all library rules. I accept responsibility for the minor’s selection and use of library materials, including digital materials. I will promptly pay fines for any overdue, lost, or damaged materials borrowed on this account. I will report a change of address or lost card immediately. To accept this agreement, please sign below.

Signature

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