Auburn Public Library - Auburn, Massachusetts

Library Card Application Form

As an alternative to completing the form below, you may click here for a PDF copy of the application form. Complete the form and bring it to the library.

Date, Time, Contact Name:

Name:
	(Last)	(First)	(MI)

Date of Birth:		Gender	Male Female

Mailing Address:
	(Street or Route)

	(Town or City)	(State)	(Zip Code)

Telephone Number:

E-Mail Address:
	(used as main form of contact regarding holds and overdues)

If card application is for a minor (under 18):

Permission to use library computers		Yes No

Parent's Name:

Please NOTE: The library endorses the American Library Association's (ALA) Library Bill of Rights, ALA Freedom to Read Statement, and the ALA Freedom to View Statement. The library does not have any statutory authority to assure that only constitutionally protected content is available on the Internet. The authority to determine what is illegal (obscene) and harmful to minors rests with the Massachusetts Attorney General (G.L. c.272 §§ 28 and 31). This means we do not have any filters or blocks on our computers. Therefore, if you do not want your child using the computers at the library you need to indicate that on this form and we will block them from computer use.

I agree to be responsible for any materials borrowed with this card, and to pay for any fines, damages, or loss of materials charged upon it.

NOTE: Submit the form using the "Submit" form below. You will need to appear at the library in person, with driver's license or other identification, to pick up your card.