Child Online Library Card Registration
A parent/guardian may use this form to register a child (ages 0-17) for a library card. You will be notified via email when the account has been created and your child's library card is ready to be picked up. Please note that you should not use this form if your child already has a card from any of the libraries in the Winding Rivers Library System.
Child's Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Notice Preference
*
Email
Phone Call
Text
Child's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Child's Birth Date
*
-
Month
-
Day
Year
Date
Parent/Guardian's Name
*
First Name
Last Name
Parent/Guardian's Email
*
example@example.com
Parent/Guardian's Phone Number
*
Please enter a valid phone number.
Parent/Guardian's Driver's License or ID #
*
Parent/Guardian's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Internet Usage
*
Yes, my child has my permission to use the library's computer lab.
No, my child does not have my permission to use the library's computer lab.
Digital Signature
*
I confirm that all of this information is correct to my knowledge. I will be responsible for all materials checked out on this card. I will comply with all library rules and policies. I understand that there will be charges for lost, damaged, and/or stolen library materials.
Submit
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