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Library Card Application

Please select the style of card you would prefer:*
- Wallet
- Keychain
Name*
First Middle Last
Date of Birth*

Year
Month
Day
Parent/guardian library card number (for minors)
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*
Physical Address*
Street Address Address Line 2 City State ZIP Code
Mailing Address (if different from physical address)
Street Address Address Line 2 City State ZIP Code
Would you like to sign up for our eNewletter?*
- Yes
- No
Signature*
I consent to the library card policy.
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.

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