Visiting Library Service Form

"*" indicates required fields

Type of Delivery Service Required*
Expected duration of service*

Alternate Contact

Family member or friend who may be contacted if we are unable to reach you in case of emergency

Reading Preferences

Types of materials interested in*
(Please check all that apply)
(Please check all that apply)


We keep a record of your reading preferences and the library materials you have borrowed in order to provide better service to you. This list and your personal information are kept confidential and are not shared.
Do we have your permission to keep this information in our computers?*
I agree to be responsible for any loss or damage of library materials.*
This field is for validation purposes and should be left unchanged.
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