Name *

Please enter your middle initial after your first name

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

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Library Card User *

This library card is for a patron under the age of 13 (child card)

This library card is for a patron over the age of 13

I hereby agree to obey all the rules and regulations of the North Brunswick Public Library, to pay promptly all fines charged against me for the injury or loss of books, and to give immediate notice of any change of address, phone number, and email address. *

I agree

Please enter the child's birth date

MM

DD

YYYY

I am willing that my child/charge shall borrow books from the Public Library, and I promise to make good any damage or loss and to pay any fines justly charges to my child/charges library account. *

I agree

How do you prefer to receive communications from the library? *

Phone

Email