Application for Borrower's Card |

Name*

First Middle Last

Birthdate*

mm/dd/yyyy

Address*

Street Address City State ZIP Code

Do you live within this city’s limits?*

Yes
No

Township

County*

Phone*

Would you like to receive library notices via phone call, e-mail, or text message?(choose one)*

Phone Call
E-mail
Text Message

Email

Cell Phone#

PIN Number - Default = last 4 digits of home telephone number

Do you currently have an Arrowhead Library System borrower’s card?*

Yes
No

Barcode #

Name of parent or guardian, if applicant is under 12 years of age

First Last

Data Privacy. According to the Minnesota Government Data Practices Act, library users must be informed of what private data is being collected, its uses and disposition (sometimes referred to as the “Tennessen warning”). By Minnesota law, information you provide in applying for a library card, except your name, as well as information which links your name with library materials is private. It is available only to you and to appropriate library personnel. This information is required to support library services. You are not legally required to provide the information on the application, but you will not receive a library card if you do not fill out the information on the application. The information in the application must be released pursuant to a court order.

(electronic submission of this form will serve as your signature)

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Application for Borrower’s Card