IS IV Saranac Clarksville Verify : Register Minor

Please read the instructions and fill out the form below to sign up for your free 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.

Home Library Where would you like to pick up your child's hold requests?

A member library card entitles the cardholder to use the services of the Lakeland Cooperative member libraries subject to the rules and procedures of the library used. The cardholder is responsible for the return of, and for any loss or damage to, all materials borrowed with this library card, and also to pay fees or charges established under the above rules and procedures. I agree to pay fees or charges established under the rules and procedures of the library used.

I Agree.