Library Card Application

Application for Library Card

Oxford Resident Library Card (Taxes paid to Oxford or Oxford Township)

Lapeer Resident Library Card (Non-Standard Card, Valid at Oxford Library Only)

First

Middle

Last

Address

City/Town

State/Province

ZIP/Postal Code

Birthday

Phone

Are you 18 years or older?

Yes

Statement of Responsibility
a) I certify that the information on this form is correct.
b) I accept responsibility for those materials borrowed on the library card issued from this application. Responsibility for the choice of materials borrowed rest with the person(s) whose signature(s) appear on the signature lines below and not with the library system or its staff.

Applicant's Signature

Driver's License #

If the applicant is under 18 years of age or legally incompetent the applicant and parent/legal guardian must
complete the section below.

Parent/Legal Guardian

Sign above

Driver's License #

Please select one:

Mother

Father

Legal Guardian

Parent(s) / Legal Guardian records may be released to

Address

City/Town

State/Province

ZIP/Postal Code

Oxford Public Library

Library Card Application