Youth Renewal Application

1

Please verify that you are human* This field is required.

2

Does the applicant have Ferndale Library Card already?* This field is required.

YESNO

3

Is the applicant between the ages of 5-17?* This field is required.

YESNO

4

Is the applicant a Ferndale resident?* This field is required.

Yes

No

5

Does the parent/legal guardian's driver's license or state ID have their current address on it?* This field is required.

YESNO

6

Is the applicant a student at a school within Ferndale?* This field is required.

YESNO

7

Please upload a photo of the applicant's student ID, report card, progress report or other official school correspondence from a Ferndale school. The item should show the student's name.

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Max. file size: 10.6MB

8

Please upload a picture of the FRONT of the parent or legal guardian's ID.* This field is required.

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Max. file size: 10.6MB

9

Please upload a picture of the BACK of the parent or legal guardian's ID.* This field is required.

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Max. file size: 10.6MB

10

Please upload a picture of the FRONT of the parent or legal guardian's ID.* This field is required.

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Max. file size: 10.6MB

11

Please upload a picture of the BACK of the parent or legal guardian's ID.* This field is required.

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Max. file size: 10.6MB

12

What type of proof of residency would you like to upload?* This field is required.The document must have YOUR name and Ferndale address on it to qualify.

Mortgage or lease agreement

Water bill

Utility Bill

Cable Bill

13

Please upload a picture of a utility bill with your name and Ferndale address on it.* This field is required.Water bills, cable bills, gas, and electric bills are the only bills that will be accepted as proof of residency.

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Max. file size: 10.6MB

14

Please upload a picture of the section of your mortgage or lease agreement that contains your name and address.* This field is required.

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Max. file size: 10.6MB

15

Please upload a picture of the FRONT of your ID.* This field is required.

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Max. file size: 10.6MB

16

Please upload a picture of the BACK of your ID.* This field is required.

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Max. file size: 10.6MB

17

Please enter the child applicant's first and last name.

First Name

Last Name

18

Please enter the applicant's birthdate.Children under the age of 5 will not be granted library cards.

Date

19

By law, parents and legal guardians are responsible for oversight regarding the content of library material used by their children (age 5-17). The Ferndale Area District Library cannot and will not take responsibility for the content of library material checked out by children, including visual media (DVDs). I understand and accept my legal responsibilities as a parent or legal guardian regarding the use of the public resources provided by the Ferndale Area District Library. I understand that I am responsible for any overdue materials or fines/ fees that my child accrues at the library. I authorize my child to have a library card in his or her own name. * This field is required.

Clear

20

Please enter a phone number for notification purposes.While it is not required to provide a phone number, it makes it easier for the library to contact you regarding this account and for to receive automated notifications.

Area Code

Phone Number

21

If you would like to receive text message notifications, please enter your phone carrier in the field below.Example: AT&T, Verizon, T-Mobile

22

Please provide an email address for library account notifications.* This field is required.We will email account information at this email address as well.

example@example.com

23

Does the applicant need a new library card number/new physical card?* This field is required.If your current library card is still in good shape or you never use the physical card, we'll keep your number the same! But if you've lost your card or it's looking ratty, we will issue you a new one that can be mailed to you or picked up during curbside pickup hours.

YESNO