Who are you registering for a Library Card today?
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I'm an ADULT (18+) registering MY SELF for an E-Card
I'm a PARENT/GUARDIAN registering for a CHILD's E-Card
I'm UNDER 18 Years old & want to register for my own E-Card
Which branch of the library will you visit the most?
Aurora,
Cassville
Eagle Rock
Marionville
Miller
Monett
Mt. Vernon
Pierce City
Shell Knob
Email
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This is the address the E-Card will be sent to.
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Adult Parent / Guardian
If you are requesting for a minor to get a Library Card you will need to fill out this portion stating you are responsible for the minor who is getting the card, the material/media they checkout or download, and any fees they may incur if materials are damaged or lost.
Parent/Guardian Name
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First Name
Last Name
Parent/Guardian Date of Birth
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Month
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Day
Year
Date
Parent/Guardian Phone Number
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Area Code
Phone Number
Parent/Guardian Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
In order for a library e-card to be issued to applicants ages 6-17, parent or guardian must agree with the following statements: (please check/click each item and sign below)
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I understand that the Library does not stand in place of the parent or guardian (in loco parentis) when it comes to access to the library.
I understand that it is my responsibility to monitor my minor child’s reading, listening, and viewing of library material, displays, services, and programs.
I understand that it is my responsibility to monitor the material viewed / checked out by my minor child.
I understand that selection of materials for the Library is not restricted by the possibility that my minor child may obtain materials that I might consider inappropriate.
I understand that a Barry-Lawrence Regional library card grants full access to cardholders of all ages for all services the library has to offer, i.e. all print materials (including materials requested through Evergreen), media resources, online resources, library computers, and library internet/Wi-Fi.
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Person Getting The Library Card
This will be the name on the card.
Name
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First Name
Middle Name
Last Name
Date of Birth
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Month
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Day
Year
Date
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Area Code
Phone Number
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Signature
*
In signing you are affirming everything on this form is true
Clear
Send us a Picture of your picture ID (optional)
Browse Files
You can take care of this step when you visit your local BLRL location to get your FULL library card.
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