New York City Public Libraries

LIBRARY CARD APPLICATION FORM

Instructions:
To get this limited-edition library card while supplies last, please complete this form and submit it with an acceptable ID to your local public library. Adult students can show a current New York State drivers license, learners permit, or other photo identification. Young Adults (ages 1316) can show current working papers or school ID. Children (ages 12 and under) must have a parent or legal guardian sign this form; parents will be responsible for materials checked out on their childs card. Visit the Web site of the library in your borough for a complete list of acceptable identification forms and the location of a branch near you. For Brooklyn, go to brooklynpubliclibrary.org; for the Bronx, Manhattan, and Staten Island, go to nypl.org; for the Queens go to queenslibrary.org.

1. Check One:

Child (Ages 12 and under) Young Adult (Ages 1316) Adult (17 and older) Male Female

2. Student/Library Cardholder Information: Last Name_______________________ First Name___________________ Middle Name/Initial _______ Date of Birth (Month/ Day/Year)________________________ Gender

Street Address ____________________________________________________ Apt.#______________ Borough or City______________________________ State________ Zip Code_________________ Home phone__________________________________ 3. Parent/ Guardian (must be completed for students 12 and under): Last Name _________________________ First Name ______________________Middle Name/Initial______ E-mail Address_______________________________________ Home phone________________________ Check A or B:

A. My child may borrow adult as well as childrens materials. B. My child may borrow childrens materials only.

Parent/Guardian is responsible for materials checked out on childs card. Parent/Guardian Signature ____________________________________ Date ______________

The New Library Card: What you need to know.

There are more than 200 public libraries throughout New York City. A free library card will allow you to borrow books, ebooks, DVDs, and CDs, and access exclusive online resources for cardholders. Visit your local library with this form completed to get this new card while supplies last. Students 12 and younger need a parent or guardians signature on the form. Even if you have fines on your existing library card they wont carry over to the new card. Get your new card (while supplies last) at any Brooklyn Public or New York Public library by August 31, 2012 to get this benefit at BPL or NYPL. Its a fresh start! ID is required. Check with your local library to find out what to bring with you when you visit. The new card is only available to children and students birth to grade 12. Have questions? Call 718-230-2100, option 5.

Join your friends on

Summerreading.org!
Sign Up! Enter your library card bar code number and use the PIN 2012 to get started. Create Your Avatar Coming soon! Create a cool avatar for your profile. Find a Great Read Check out the NYC summer reading lists and find a new favorite! Rate Books, Movies, Music and Games Finished a book? Let other summer readers know what you
thought of it by rating it.

Track Summer Reading Keep a log of the books you read this summer by adding them to your shelf. Measure Your Reading Time How much time will you spend reading this summer? Share a List Put together a list of cool titles to share with others. Earn Badges You can earn badges for everything you do on this site. How many can you win?