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2. Choose your preferred library branch:*

   This is the location you will pick up your physical library card. Once your form is submitted, please allow up to 2-business days for your library card to be created, then visit the circulation desk at your preferred branch to pick up your new library card.

   
   

   1. Main Library at:
      202 Cedar Street
      Abilene, TX 79601

   1. South Branch at:
      4310 Buffalo Gap Road
      Abilene, TX 79606

   1. Mockingbird Branch at:
      1326 N. Mockingbird Ln
      Abilene, TX 79603
6. New Patron Information
8. First Name*
9. Middle Name
10. Last Name*
11. Suffix
13. Preferred Name
14. Date of Birth*
    Date of Birth
16. Required ID

    Do you have a valid/current Department of Defense ID Card with Dyess Air Force Base? If so, you qualify for a free library card even if you reside outside of the city limits. You will need to present this ID to library staff when picking up your library card.

    1. Yes
    2. No
18. Mailing Address*
20. City*
21. County*
22. State*
23. Zip Code*
25. Physical Street Address (If Different from Mailing)
27. City
28. County
29. State
30. Zip Code
32. Primary Phone Number
33. Alternate Phone Number
35. Email Address*
36. PIN *
    Create a password of 4 to 10 characters.
38. Would you like Internet access on your library card?

    1. Yes
    2. No

    This will be required for logging into any public access computer at the Abilene Public Library.
42. Parent/Guardian Information
    If this registration form is being submitted by, or on behalf, of a minor (17 years old and younger), the following parent/guardian information must be completed to confirm responsibility for this youth card.
44. First Name
45. Middle Name
46. Last Name
47. Suffix
49. Mailing Address
51. City
52. County
53. State
54. Zip Code
56. Internet Permission Granted:*

    1. Yes
    2. No

58. This card is good for all library materials regardless of format (digital or physical) or content or rating. Signature below confirms responsibility for this youth card, including fees incurred and fees incurred, child's selection of materials and use of electronic resources including the Internet.

62. BORROWER AGREEMENT: I agree to observe all rules and regulations, to be responsible for all library materials checked out with my card and to promptly pay all charges for lost or damaged materials. I agree to notify the library of any changes in my name, address, phone, e-mail address, or if my library card is lost or stolen.

64. Type Adult Full Name to Agree*
65. Date*
    Date
67. Type Youth Full Name to Agree (If Applicable)
68. Date
    Date
Leave This Blank:


70. 1. Receive an email copy of this form.
71. Email address

    This field is not part of the form submission.

72. Submit

* indicates a required field