2. Library Card Application Form
   All information on this form is private data and may not be disclosed for other than library purposes except pursuant to a court order. Minnesota Statutes, Section 13.4, Subdivision 2.
4. State or other ID #:*
6. Last Name:*
7. First Name:*
9. Middle Initial:*
10. Date of Birth:*
12. Street Address:*
14. Mailing Address:
    Only fill out if different from street address.
16. City:*
17. Zip Code:*
19. Email Address:
    If you wish to receive notifications of items due, holds available, or overdue items; you must provide a current email address.
20. Telephone Number:*
22. Name of legal guardian:
    Please list name of legal guardian if user is under the age of 16.
24. Agreement
    By submitting this form, I promise to comply with all library rules, to promptly pay fines or damages charged to me, and to give immediate notice of change in my address. I understand that all information included on this form will be shared with other TdS libraries.
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field