Juvenile Patron Registration

FLAGSTAFF CITY – COCONINO COUNTY PUBLIC LIBRARY

Library card application form - Juvenile (age 0-17)

Flagstaff Public Library accounts are issued free of charge to residents of Coconino County and the surrounding Northern Arizona region.

All juvenile accounts must have an adult responsible party, such as a parent or guardian, who agrees to pay for or replace any lost or damaged library material in the event this should occur. Please fill out the fields below with your child’s full name & date of birth, as well as your current mailing address, phone number, and your full name, plus your driver’s license or state-issued picture I.D. number, plus state of issuance abbreviation (AZ, NM, CA, WA, CO, etc…).

Apply for a card: *First Name

*Middle Name

*Last Name

*Date of Birth (MM/DD/YYYY)

*Current Mailing Address
*Street *City *State *Zip Code

*Permanent Mailing Address (if different)
*Street *City *State *Zip Code

Phone Number

Would you prefer to receive notifications for available holds and over dues by email, text message, or both?

*Email

Text

*Four Digit PIN (needed to access many of our online subscriptions, and your library account online)

Responsible party for this account:
*First Name

*Middle Name

*Last Name

*Driver's License or State ID Number

*State of Issuance Abbreviation

*Denotes required field

Last updated on September 10, 2020

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