E-Card Registration BLRL

Who are you registering for a Library Card today?

select the situation that describes who will be getting a library e-card
*

Which branch of the library will you visit the most?

This will typically be the closest library branch to your home.
Select your regular Library Branch:

Aurora, Cassville Eagle Rock Marionville Miller Monett Mt. Vernon Pierce City Shell Knob
Person Getting The Library Card

This will be the name on the card.
Name *

First Name Last Name
Date of Birth *

Month Day Year
Date
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email
If for a child with out an email the parent/guardian can enter their own email
Phone Number *

Area Code Phone Number

Adult Parent / Guardian

If you are repatriating for a minor to get a Library Card you will need to fill out this portion stating you are responsible for the minor that is getting the card, the material/media they checkout or download, and any fees they may incur if materials are damaged or lost.
Name *

First Name Last Name
Date of Birth *

Month Day Year
Date
Email *
example@example.com
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Signature *

Clear

Send us a Picture of your picture ID (optional)

this is sent with encryption to protect your data.
Browse Files

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Who are you registering for a Library Card today?