Youth Library Card Youth Library Card Application (17 and under) This form is for minors. A parent or legal guardian must complete and sign this application. Youth's Information First: Middle: Last: Street Address: City, State ZIP Code: Phone number: Birthdate (MMDDYYYY): Email address (optional): Parent / Legal Guardian Information Parent / Legal Guardian Name: I verify that the above information is correct and agree to the following: I assume financial responsibility for materials borrowed and understand that this card is not transferable. I will immediately notify the library if my card is lost or stolen. If the library does not receive notification, I understand that I am responsible for any material borrowed on the card. I will also promptly notify the library of a change of address, email address, or telephone number. I agree to hold the library and its representatives harmless for any and all loss, problem, or damage resulting from my use of library materials, equipment, computers, or internet access or participation in any Library program or event. Further, I agree to indemnify the library for any loss or liability that I may incur as a result of any violation of library policies by me. Parents or legal guardians are assuming full responsibility for the supervision of the minor's choice of materials, use of all library resources, and any associated fees. I agree to follow Library policies and administrative rules located at www.jcld.org. Important After Submission: You will be redirected to the Deschutes Public Library catalog. Write down the temporary barcode number shown. Bring it, along with proof of residency, when you visit your local library to complete the process. Submit Youth Application Start Over
