Youth Ferndale Library Card Application

1
Please verify that you are human* This field is required.
2
Is the applicant between the ages of 5-17?* This field is required.
YESNO
3
Is the applicant a Ferndale resident?* This field is required.
Yes
No
4
Does the parent/legal guardian's driver's license or state ID have their current address on it?* This field is required.
YESNO
5
Is the applicant a student at a school within Ferndale?* This field is required.
YESNO
6
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
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7
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
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8
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
Cancelof
9
Please upload a picture of the FRONT of the parent or legal guardian's ID.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
10
Please upload a picture of the BACK of the parent or legal guardian's ID.* This field is required.
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Select files to upload
Max. file size: 10.6MB
Cancelof
11
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
12
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
Cancelof
13
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
Cancelof
14
Please upload a picture of the FRONT of your ID.* This field is required.
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Select files to upload
Max. file size: 10.6MB
Cancelof
15
Please upload a picture of the BACK of your ID.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
16
Please enter the child applicant's first and last name.
First Name
Last Name
17
Please enter the applicant's birthdate.Children under the age of 5 will not be granted library cards.
Date
Year
Month
Day
18
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
19
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
20
If there is a name other than your child's legal name that you would like on their library account, please type it in the following format below: First Middle Last. If you wish to use their legal name, leave the field blank.Is there a name you'd rather go by at the library?
Preferred Name
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
What is the main reason you are applying for a card for your child today?
I needed to use the internet, printer or computer
To talk to the librarian
For school assignments
To borrow CDs
Ferndale Library was recommended by a friend, family or organization
To borrow books
Ferndale school student, not a Ferndale resident
To borrow DVDs
For a place to play or socialize
Wanted access to a specific digital resource
For a place to study
I attended a program
Other
Should be Empty: