Online Borrower Registration

Online borrower registration is for people 18 and older. People younger than 18 must apply for a library card in an LCPL branch while accompanied by a parent or guardian, or fill out and return this paper form with the signature of a parent or legal guardian.

First Name *
Middle Name
Last Name *
Suffix
Email Address *
Language *
Date of Birth *
Phone (xxx-xxx-xxxx) *
Phone Type *
Alternate Phone
 
Primary Address
Street *
City *
State *
Zipcode *


Statement of Responsibility

By submitting this Online Borrower Registration, I confirm that I am 18 or older and agree to be responsible for materials borrowed and any fees charged.

*Required