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Library Card Sign-up

  1. I would like my library notices sent by:

  2. I would be interested in receiving a Library e-newsletter by email:

  3. (required to receive text notices)

  4. Campbell County resident?*

  5. I want to pick up my new library card at*

  6. PIN may be up to 10 characters in length and use letters and numbers only.

  7. This card is for*

  8. You will need to present two items:
    --- Your photo ID
    --- Proof of your mailing address (if different than the address on your ID)

  9. Please check the boxes next to each statement to signify your agreement, which will serve as your electronic signature. You must agree to all statements or a library card will not be issued.

  10. In return for the right and privilege to use the Campbell County Public Library, I agree to return books and other items when due.*

  11. I hereby assume all financial responsibility including but not limited to damage, repair, or replacement costs for print or non-print materials loaned to me.*

  12. I represent that I am of legal age (18), and I further agree that I will be responsible for all materials or equipment checked out on my card up to the date the Campbell County Public Library System receives notification in writing that the card is lost or stolen.*

  13. I further agree that I will be responsible for all materials or equipment checked out on my card up to the date the Campbell County Public Library System receives notification in writing that the card is lost or stolen.*

  14. I further agree that I will be responsible for all materials or equipment checked out on my child's card up to the date the Campbell County Public Library System receives notification in writing that the card is lost or stolen.*

  15. I understand that the Adult Collection is available to children. I accept full responsibility for all selection of materials/equipment and any loss or damage incurred through my child's use of the library.*

  16. Leave This Blank:

  17. This field is not part of the form submission.