Verify : Register Child

Please fill out the form below to register for a new library card for your child.

Parent/Guardian Legal First Name: Enter your first (or given) name as it appears on official documents

Parent/Guardian Last Name: Please enter your last name here

Parent/Guardian Birth Date: Please enter your birthdate here

Parent/Guardian Email Address: Please enter your email address here

Parent/Guardian Address: Enter your home street address, including apartment number if needed.

Parent/Guardian City: Please enter your city here

Parent/Guardian State: Please choose from the options below

Parent/Guardian Zip Code: Please enter your zip code here

Parent/Guardian Phone Number: Please enter your phone number here

Child's First Name Please enter your child's legal first name here

Child's Preferred First Name: Please enter the name your child prefers to be called

Child's Last (Family) Name Please enter your child's last name here

Child's Birthdate Please enter your child's birthdate here

Parent/Guardian Full Name Please enter your first and last name here

Preferred Language: What language would you prefer for library communication, such as newsletters and updates?

Your Local Library: Select the library location your child is most likely to visit.

How did you hear about us? Please enter your response here

The following questions are OPTIONAL.

APLD is collecting optional information about language, race, and gender. All answers will be kept confidential. If you choose to participate, this information will be used to help design library services, collections, and spaces that support all members of our community.

Which of the following best describes your child's gender? Please choose from the options below

Which of the following best describes your child's race and ethnicity? Please choose from the options below