Educational Library Form

EDUCATIONAL LIBRARY FORM

Student Information

Parent / Guardian Information (if applicant is a minor)

Applicant is under 18 years of age:

Library Account & Borrowing Preferences

Select privileges requested (check all that apply):

Books (general circulation)
Multimedia (DVDs, audiobooks)
Loanable equipment (laptops, chargers)
Interlibrary loan services
Remote access to electronic resources

Student ID   Government-issued ID   School record  

Borrower Responsibilities and Library Policies

By signing below, the applicant (or parent/guardian signing on behalf of a minor applicant) acknowledges and agrees to comply with the library's circulation and conduct policies. The borrower is responsible for timely return of all borrowed materials and for all fines, replacement costs, processing fees, and administrative charges resulting from late returns, loss, damage, or failure to pay. Replacement costs include the retail cost of the item, any processing charges, and a non-refundable administrative fee.

The borrower agrees to indemnify and hold the library and the institution harmless from any claims, liabilities, losses or damages arising from the borrower's use of library materials or equipment. The library may restrict or suspend borrowing privileges for failure to comply with policy or to satisfy outstanding obligations.

The borrower acknowledges responsibility for compliance with applicable copyright and licensing terms when reproducing or transmitting library materials. Remote access to electronic resources is provided subject to license restrictions; misuse may result in termination of access and disciplinary action.

I certify that I have read, understand, and agree to abide by the library's circulation and acceptable-use policies, and I accept financial responsibility for borrowed items.

Medical & Emergency Information

Certification and Consent

I certify that the information provided on this form is true and complete to the best of my knowledge. I authorize the library to create and maintain an account for the purposes of borrowing materials, managing fines and fees, and communicating account information to the contact details provided. For applicants under 18 years of age, the parent or legal guardian signing below consents to the terms and accepts financial responsibility for the minor's account.

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