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Kitsap Regional Library Card Application


Your card will be mailed to your home address within two weeks. The first time you use your new card to borrow library materials, you will be asked to show photo ID, and to confirm that your contact information is current. Required fields are denoted with a red astericks (*)


* Home Library:
___________________________________________________________________________________________
* First Name:
Middle Name:
* Last Name:
* Date of Birth:
* Gender:
Is this card for a minor?
If so, what is the guardian's full name?
___________________________________________________________________________________________
Mailing Address (Your card will be mailed to this address.)
* Street:
* City:
* State:
* Zip:
* Phone No:
* Email Address:
* Set Password:
___________________________________________________________________________________________
Note:
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