Library Card Application - High School and Middle School Students Please select the style of card you would prefer:* Wallet Keychain Name* First Middle Last Date of Birth* Year Month Day Parent/guardian name (for minors)Email* Phone*When you request an item, the library can notify you that it's ready to pick up via text message. Would you like to receive text notifications?* Yes No If you answered yes to the above, please put the number to which you'd like texts sent*If you selected yes for text notifications, please provide your mobile phone service provider*Please Select CarrierAT&TAlltelBoost MobileCellular OneNextelSpectrumSprintT-MobileUnicelUS CellularVerizonVirgin MobilePhysical Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mailing Address (if different from physical address) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Signature* I consent to the library card policy for my child.By digitally checking the above box, I agree that I am familiar with the Hood River County Library District's Library Card Policy and any accompanying rules of use. I agree to the Hood River County Library District's Library Card Policy. Δ
