IL Lake Odessa Verify : Register Minor

Please fill out the form below to sign up for your library card. By applying for a library card using this form, you agree to receive communication from Lakeland Library Cooperative and its member libraries via email.

Parent/Guardian Email Address

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Address

Parent/Guardian Apartment, building, suite, unit, etc.

Parent/Guardian City

Parent/Guardian State

Parent/Guardian ZIP Code

Parent/Guardian Birth Date

Parent/Guardian Phone Number

Legal First Name - Minor

Preferred First Name - Minor This could be a nickname or a different chosen name.

Legal Last Name - Minor Please enter last name as one word.

Birth Date - Minor

Parent/Guardian Name

Parent/Guardian ID Driver's License, Michigan ID, Passport, Military, etc - Please enter the NUMBER on the document.