Library Registration Form- Adults

Library Registration Form- Adults

Requirements for Registration (Residents) One (1) Valid Identification - Driver's Permit, Passport or National Identification Card. Proof of current mailing address no more than three months old (e.g. utility bill, bank statement)
Name

First NameLast Name
Identification Type
Identification Number
Date Of Birth

MonthDayYear
Date
Gender
One Valid Identification

Cancelof
Proof of Address

Cancelof
Home Address

Street Address

Street Address Line 2

Village

Country
Email Address
example@example.com
Home Number
Please enter a valid phone number.Format: (000) 000-0000.
Mobile Number
Please enter a valid phone number.Format: (000) 000-0000.
Name and Address of Business/School
Business Phone
Please enter a valid phone number.Format: (000) 000-0000.
Fax
Please enter a valid phone number.Format: (000) 000-0000.
STATEMENT OF RESPONSIBILITY

I agree to:

i. Comply with library rules and regulations
ii. Be responsible for materials borrowed
iii. Pay assessed charge for lost or damaged items while on loan
iv. Notify the Tobago Library Services of any change of address
v. Return loaned material by due date
vi. Return all materials and pay all charges due

By signing this application I also agree to receive promotional material and other notices from NALIS via e-mail and text messages.
Signature
Date

MonthDayYear
Date
Should be Empty: