New Canaan Library Card Request for Schools

What school does your child attend?*

St. Aloysius SchoolSt. LukesNew Canaan Country SchoolNew Canaan High SchoolSaxe Middle SchoolEast Elementary SchoolSouth Elementary SchoolWest Elementary SchoolPreschool in New Canaan

Student Information
Child's Name*

First NameLast Name
Student's Grade*
Child's Date of Birth*

MonthDayYear
Date
Child's Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student's Email (optional)
example@example.com

Parent/Guardian Information

Students 16 and older with a photo ID may complete this section for themselves.
Name of Parent or Guardian *

First NameLast Name
Parent's Email*
example@example.com
Phone Number*
Photo of Parent or Guardian's ID:*
By providing this information you understand that you hold the responsibility of this card and any materials your child checks out as well as associated fines incurred.*

I agree.
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