Library Card Application (TEST) – Welcome to the City of Elkins, Arkansas

Name *

First

Middle

Last

Email *

Address 1 *

Address 2

City *

State *

Zipcode *

Date of Birth *

Parent/Guardian Name (if applicable)

Comment or Message

Phone

By submitting this application, I declare that all information is accurate and I agree to Elkins Public Library’s Policies, available at elkins.arkansas.gov. I accept responsibility for all use of the card, charges made against it, and materials borrowed. I have read and will abide by all library policies. I understand that the library reserves the right to turn any delinquent fees over to a collection agency, at which time the library can no longer accept the materials in lieu of payment

Verification *

I am a current Elkins Water Customer and I give the library permission to validate my address via the Elkins Water Department
I am a current Elkins or Washington County resident and will provide proof of address to the library when requested to complete library card application