Groton, CT Public Library Card Application

Name *
Enter your first name, middle initial and last name. For example, John P. Smith
School/Grade/Teacher
If applicable
Home Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Best Number to reach you:

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Email
How do you prefer to receive notices about your account? *
 Email 
 Phone 

Children's Cards

Children ages 4 years and up can receive their own library card. We will ask for identification to verify your address.

Additional cards for children?
 Yes 
 No 
Name of child
Prefix
First
Last
Suffix
Age
Name of Child
Prefix
First
Last
Suffix
Age
Name of Child
Prefix
First
Last
Suffix
Age
Name of Child
Prefix
First
Last
Suffix
Age
Would you like to receive library news and information by email?
 Yes 
 No 
Would you like information about our Friends Group? This is a great way to support your library.
 Yes 
 No 

Please Read:

Your library card should be presented when checking out materials. There will be a charge if the card is lost. In your own interest, DO NOT lend your card and please report loss of card immediately. By signing and clicking on the Submit button you are assuming responsibility for all materials taken out on this card.
Sign here
Additional Comments
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