• Apache County Library District

    Patron Online Registration Form for residents of Apache County .
  • If applicant is a minor this form must be filled out by a parent or guardian and the digital signature must be the parent or guardian's signature.

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  • Please be prepared to show a driver's license or State/Federal ID when you pick up your library card.

  • The above information will be shredded after completion of registration for your security. The Apache County Library District will keep only your signature on file.

  • By signing below, I agree to comply with the circulation and Internet policies of the Apache County Library District libraries or as they may be amended in the future by the Apache County Library District’s governing board.  A current copy of the Library District’s circulation and Internet policies is posted and available to patrons at all branch offices of the district.  I understand that it is my duty, as a patron of the library, to keep myself informed of any changes in Library District policies and procedures.

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  • Signature (person requesting library card, to be signed when card is picked up):

    ____________________________________________________________

  • Signature - parent/legal guardian (minors under 18 years, to be signed when card is picked up)

    ___________________________________________________________

  • For Library Use Only: 

    Borrower ID: ________________

  • Library Use Only:  Proof of Residency Provided:       YES      NO

    Initials (staff receiving signature and distributing card): ___________

  • Should be Empty:
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