To register for a library card you will need to complete this form. Come to the library within 7 days with proper identification to receive your card and a free gift. The information on this form will be used solely for library purposes.

*REQUIRED INFORMATION

*Name
First Full Middle Last

*Mailing Address
  • Those living outside of Massachusetts may register for a card for a fee of $55.00 per year.
Street Apt. P.O. Box
City State Zip Code

Other Address
(year round) (seasonal)
Street Apt. P.O. Box
City State Zip Code

 
Home Phone () - Work Phone () - Ext.

 
E-Mail Address Birth Date - Month Day Year

 

>>Would you like to receive the library’s monthly newsletter?

 

Internet Sign-up

 

If you will use the library computers for research including the Internet, would you like us to create a computer user account in your name. (Age 18 or over)

  Do you give permission to your child to use the library computers including the Internet?
  Do you give permission to your child to use the library computers but NOT including the Internet?
I agree to be responsible for material borrowed with this card, for all the fines incurred, and for loss and damage of material charged upon it. I release the library from any liability for damages occurring from equipment or material I have borrowed. *Parents MUST Sign for Patrons Under Age ___
I agree to be responsible for materials borrowed with this card, for all fines incurred, and for loss and damage of material charged upon it. I release the library from any liability for damages occurring from any material or materials borrowed. I accept responsibility for the selections of materials made by this person. This may include access to electronic resources such as the Internet.
________________________________
Signature		 ________________________________
Signature of Parent or Guardian
________
Date		 _________________________________
Printed Name of Parent or Guardian
________
Date