Ossining Public Library

*This is a new application yes no

*This is a change yes no

*Please check boy girl

*First Name Middle Name *Last Name *Street *City *State *Zip *Phone number Email address Re-type email address *School *Date of birth

Month Day Year

I promise to follow the rules of the Ossining Public Library, to take good care of the books and other materials that I borrow, and to bring them back on time. I also promise to tell the library if I change my address or if my library card is lost or stolen.
*Type your name nere:

Please type your name below to acknowledge that your child is permitted to have a library card, and that you will help him/her to be a good library patron. Remember that you are ultimately responsible for all material checked out on your child's card.
*Parent's name here:

NOTE: I understand that the library cannot guarantee the privacy or confidentiality of data on the Internet. I have provided a valid email address above.