Borrower Registration Form

Library materials are provided for information only and should not be construed as medical advice. The lending period is three weeks; items may be renewed once by contacting the library.

Online Borrower Registration Form

First Name: *
Last Name: *
Which of the following best describes you (check any that apply):  
 
 
 
 :
Address: *
City, State, Postal Code: *
Phone:
E-mail: *
Title of the 1st item you would like to borrow:
Title of the 2nd item you would like to borrow:
Title of the 3rd item you would like to borrow:
Comments:
I understand that I am responsible for all materials checked out in my name and that borrowing privileges are not transferable to another person. I agree to pay the replacement value cost if a borrowed library item is lost, damaged or stolen.
Signature (typed): *