Get a Library Card

If you reside in Salisbury or Lakeville, Connecticut and do not have a library card, please fill out this form. Your card may be picked up at the library. Children’s cards must be signed for by a parent or guardian. Submitting the form below, indicates compliance with the following terms, and your library card will be processed:

I assume complete financial responsibility for materials charged out to me and fines incurred by late returns.
I will notify the library immediately of any change of address or phone number.

Library Card Application - Children/Teens

Library Card Application for Adults

Card Type

Local

Out of State

Annual Fee of $35

Guest

3 Month Temporary

Title

First Name

Last Name

Preferred Name/ Nickname:

Preferred Pronouns

Email

Your email address will be used to notify of your available holds and overdue items.

Phone

Additional Card User(s)

Additional Card User(s)
	Additional Card User(s) First Name Last Name	Item weight

more items

Mailing/Primary Address

Address Line 1

Address Line 2

City/Town

State

ZIP Code

Residential/Local Address

If different from mailing address.

Address Line 1

Address Line 2

City/Town

State

ZIP Code

I understand that I am responsible for all materials charged out to this account and my signature on this form means that I comply with all Library rules, return library materials on time, in good condition.

Patron Signature

Sign above

Date

CAPTCHA

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Scoville Memorial Library

Get a Library Card

Library Card Application for Adults