Sign Me Up For A Library Card!
*Once we receive your request, it may take a few days to get your actual card made. You will receive an email once your card is ready to be picked up. *Please note that children 6-13 years old need to have a parent or guardian's signature on our paper form also. You can stop in the library to do that anytime during regular business hours. Questions? Email: firstname.lastname@example.org or call 641-623-3417.
Parent or Guardian's Name (Only for patrons between the ages of 6-13)
State / Province
Postal / Zip Code
County (ex. Poweshiek)
Please enter the best number to reach you at.
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform