Union County Public Library District ADULT REGISTRATION

Union County Public Library Adult Online Card Application

126 S. Morgan St. Morganfield, KY 42437
Patron agrees to all Library Polices upon activation of the library card.
Name of Adult (must be 18 years old)*

Last NameFirst Name
Birth Date*

MonthDayYear
Take a photo of the front of your Union County Driver's License *
If you are from out of the county take a picture of your property tax bill you own in Union County Kentucky*
Please Select One

MaleFemaleUnspecified
Address*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email:
example@example.com
Library Policy

Click on link above to view Library Policies
I have read the policy listed above and agree to all the Library Policies*
Signature: I understand by signing this form I will abide by the Library policies, including internet policies upon activation of the library card.

Clear
Type a question
Suggestions if any for further improvement:
Select yes if you will pick your card up at the library and no if you want it mailed*
Back to homepage
Employees Fill Out Below This Line
Patron Card #
Patron Card Pin #
Issue Date

MonthDayYear
Date
Date Card Mailed or Picked -Up

MonthDayYear
Date
Initial of Staff completing form
Rate Us/Prepared by SM 10/31/20
Should be Empty:

Union County Public Library Adult Online Card Application