New Library Card Library Card Library Card Application Step 1 of 2 - Personal Information 50% Name* First Last Date of Birth* MM slash DD slash YYYY Phone*Address* Street Address City State / Province / Region ZIP / Postal Code Email Contact Preference* Select All Email Phone Text 4-digit Numeric Pin* The PIN will allow you to access the catalog. Please subscribe me to the library's newsletter.* Yes No If you have children under the age of 18 fill out the portion/s below.Minor's first and last name* First Last ***If this does not apply to you, please put N/A in the fields above.Minor's Date of Birth* DD slash MM slash YYYY ***If this does not apply to you, please click on a random date. Please click on the services or items below that the minor is allowed to use.* Select All Internet Rated R for Movies Rated PG-13 for Movies Rated T (Teen) or M (Mature) for Video games N/A Minor's first and last name* First Last ***If this does not apply to you, please put N/A in the fields above.Minor's Date of Birth* DD slash MM slash YYYY ***If this does not apply to you, please click on a random date. Please click on the services or items below that the minor is allowed to use.* Select All Internet Rated R for Movies Rated PG-13 for Movies Rated T (Teen) or M (Mature) for Video games N/A Minor's first and last name* First Last ***If this does not apply to you, please put N/A in the fields above.Minor's Date of Birth* DD slash MM slash YYYY ***If this does not apply to you, please click on a random date. Please click on the services or items below that the minor is allowed to use.* Select All Internet Rated R for Movies Rated PG-13 for Movies Rated T (Teen) or M (Mature) for Video games N/A Adult Applicant Signature* Consent* I agree to the privacy policy.Once this application has been signed, this confirms that you have read the library internet safety issues. Your child’s library card account will be noted with parental permission allowed. Please contact the library if you’d like changes made. This policy is set forth by the Library Board of the Tonganoxie Public Library for Information Access and Internet Safety issues as they pertain to the Tonganoxie Public Library. In an effort to be responsive to our mission for excellent service, we are committed to address and meet the informational needs of the people we serve. The Library affirms the rights and responsibilities of parents or guardians to determine and monitor their children’s use of library materials and resources. Library or its staff are not responsible for the Internet information selected and accessed by their children. Therefore, Parental permission is required for the use of Library Internet computers by children under the age of eighteen. The Library is not responsible, except as provided in this policy, for the use of the Internet by children who have obtained Parental Permission according to the procedures determined by the Library. Using Library computer workstations in an inappropriate manner is prohibited. Members of the Library staff are under no obligation to monitor Library computer workstation usage and accept no responsibility for investigating the manner in which those workstations are used. When, however, a member of the Library staff observes a patron using a workstation in violation of library internet usage policy, the patron will be deemed using the workstation in an unacceptable manner, resulting in any or all of the following consequences: 1. Immediate termination of the Internet session. 2. Additional suspension of computer use or other Library use privileges. 3. Notification of appropriate law enforcement officials. 4. If a patron is a minor, parents/guardians will be notified. The World Wide Web does contain information that is unsuitable for children, as well as the public library. We ask that you speak with your children about the dangers of the Internet. Please stress to your children not to give out any personal information, such as name, address, phone number, or his/her location, to ensure their safety while using the computer workstations. Thank you for your cooperation and concern. File* Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 256 MB, Max. files: 3. Please upload a picture of your ID/Driver's License that matches the address you wrote above. **If your ID or Driver's License address does not match, please upload a picture of a piece of mail (utility bill, etc.) that does along with the ID. Thank you for your cooperation! Signature*By typing my name below, I understand that it constitutes as a formal signature upon the submission of my application.
