NEW-Library card form

YDL Library Card Application

PLEASE NOTE: If you are unable to upload a photo ID and/or proof of address, you will need to apply for your card in person
CARD TYPE*

AdultMinor
If for a Minor, enter name of parent/guardian or person responsible for the account
Name of cardholder*

First NameMiddle NameLast Name
Your legal name (if different)

First NameMiddle NameLast Name
FOR CARD RENEWALS: Enter your YDL Card #*
If you don't yet have a library card, put "None" here. If you no longer have a card, or don't know the number, put "None" here, and add a note in the "notes for staff" field stating you need a replacement card (replacement cards will have a new account number).
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of birth (MM/DD/YY)*
Choose a 4-digit PIN*
Required for online services
Phone Number*
Please enter a valid phone number.
Cell*

YesNo
Mobile Carrier
Required to have text messages sent
Email*
example@example.com
How do you want to receive library notices*

TextEmailPhoneNone
Would you like eReceipt notifications*

YesNo
If yes, via:

TextEmail
FOR NON-RESIDENT APPLICANTS

Employees or property owners in YDL's service area
Business/property address
Acknowledgement/Documents/Signatures
I am applying for an Ypsilanti District Library card. I agree to abide by library rules regarding behavior, public computer use, and borrowing materials. I agree to pay any charges for library materials accumulated on this card. I understand I am responsible for notifying the Library in case of loss or theft of this card. Failure to do so will result in my being held liable for materials on this card and for charges incurred on this card. I also agree to inform the Library of any changes to the above information or change in the status of parent/guardian.
Applicant’s Driver’s License or State ID Number*
Image of the FRONT of cardholder Driver's license or State ID (with address visible). If the card is for a minor, use the parent/guardian/applicant ID.*

If you are unable to upload a photo ID and proof of address, you must apply for your library card in person
Cancelof
Secondary identification

If your license or State ID doesn't show your current address, please upload a photo of a piece of mail or other document that shows your current address. *Non-resident employee: Upload proof of employment, such as a recent paycheck stub or work ID. **Non-resident property owner: Upload picture of your property tax bill
Cancelof
Signature (self or responsible party for minor)*

Clear
OPTIONAL - I authorize the following individual to request and receive information about my library account

First NameMiddle NameLast Name
Message for staff
Should be Empty:

YDL Library Card Application

FOR NON-RESIDENT APPLICANTS

Acknowledgement/Documents/Signatures