Library Registration Form

NAME, in full: Family Name:………………………………………………………………………………First Name:………………………………………………………………………………….

DATE OF BIRTH………………………………………… ADDRESS………………………………………………………………………………..

                   …………………………………………………………………………………                    …………………………………………………………………………………

POSTCODE…………………………………………. TELEPHONE NUMBER………………………………………………..

Any changes of the above details must be notified immediately.

 

I agree to abide by the rules and understand that I will be responsible for all items borrowed on my card. SIGNATURE …………………………………………………….. DATE……………………………………………………………..

ID seen:……………………………………………. Card No: …………………………………………..

Date Registered: ……………………………………

Staff initials: …………………………………………