New Library Card Registration
Home Library
-- Please select your library --
UA Miller Park
UA Tremont Road
I would like an E-Card only for now.
Name
First name
MI
Last name
Date of Birth
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
Year
Home Address
Address line 1
Street address
Address line 2
Apartment, suite, unit, etc.
City
State
ZIP
School Affiliation
I am currently a student at a UA School.
-Select Your School-
Barrington ES Student
Greensview ES Student
Hastings MS Student
Jones MS Student
Tremont ES Student
UAHS Student
Wickliffe ES Student
Windermere ES Student
Homeschool
Jones Bookclub
Other
I am applying for a Teacher/Educator Card.
-Select Your School-
Barrington ES
Greensview ES
Hastings MS
Jones MS
Tremont ES
UAHS
Wickliffe ES
Windermere ES
Homeschool
Jones Bookclub
School Not Listed
Your School's Name
Please deliver the library card to my school
Notifications
Notification Preference
Email
Phone
SMS (Text)
Email Address
Sign me up for library news!
Receive our e-mail newsletter highlighting library events, book recommendations and other library resources. We'll never spam or give this address away.
Phone 1
Send SMS (Text) to this number
Phone 2
Send SMS (Text) to this number
Receive receipts for my library transactions electronically?
--
Yes
No
PIN - 4 Digits (0-9)
PIN
Confirm PIN
Responsible Person
Please provide the name of the person who is responsible for this card.
A parent/guardian is responsible for the card of a minor.
Submit Registration
