Library Card Application
    For Teachers
     (Click Here for Espanol)

   Parents...
                       Get Your Child's Library Card Now!
  Sign below and return to your child's classroom teacher 

CHILD FILLS OUT: I promise to take good care of the books I use in the Library and at home and to obey the rules of the Library. Child's Name _________________________________     Age________  Date of Birth ________ Address ___________________________________________________ School _________________________________   Grade ____________

 

PARENT FILLS OUT: I am willing that my child _______________________________ borrow books from the New Rochelle Public Library and I promise to make good and damage or loss and to pay any fines justly charged to him/her. Parent's Name (please print) ____________________________________ Parent's Signature ____________________________________________ Home Address ______________________________________________ Telephone _________________________  Child has lost card?________

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For Library use -- do not write in these spaces

Bar Code Number ___________________________  Expires__________

Fines____________________________________  Lost Card _________

Lost Book(s)________________________________________________