Online Card Application

Getting a Culpeper County Library card is easy! Applications are available at the library or online.

First Name

Last Name

Address

City/Town

State/Province

ZIP/Postal Code

Date of Birth

Email Address

Notification Preference

Email

Text

Who is your cell phone provider?

(i.e. Att, Verizon, Boost, etc.)

Please select which text notifications you would like:

Friendly Reminders (2 days before books are due)

Overdue Notices

Holds Arrived

Holds Canceled

Please select which email notifications you would like:

Friendly Reminders (2 days before books are due)

Overdue Notices

Holds Arrived

Holds Canceled

To receive the Library Newsletter, check here

If you would like to keep a history of all items you have borrowed, initial here:

Please be advised that if your records should be subpoenaed by the government or requested by Homeland Security, we would be required to surrender them.

If you would like to access your account online please provide a 4 or 5 or 6 digit PIN (numbers only)

Please Sign Below

(If applicant is under 18 years of age, parent/legal guardian signature required.)

Print Name of Parent/Legal Guardian

Date

PARENTS: An individual under 18 years of age must have a parent (or legal guardian) sign their application for a library card. If the parent

(or legal guardian) is not present, the minor may take the application form home, have it signed by the parent or guardian, and return it to the library. The library will then mail the minor's card to them, thus verifying their name and address. By signing this application, you agree that your child has permission to check out any of the library's materials. All patron records are confidential, including those of Young Adults (ages 11 – 18). Young Adult records may only be reviewed by the responsible party when items are overdue.

All patrons must sign a separate agreement to use the personal computers and the Internet.

Culpeper County Library

Online Card Application

Support Your Library with a Gift to Friends, Strengthen Your Community!

Support Your Library with a Gift to Friends,
Strengthen Your Community!