Library Card Application

Fill out the form below to apply for your free library card. You must live in the DBRL region [1] to apply for a card online. This application is only for applicants 18 years and older. Library cards for those 17 and under can be requested by mail, or in person at a DBRL location or bookmobile stop [2].

After we receive your online application, we’ll mail your card along with instructions on how to activate it so you can start using library services.

General Information

First Name *

Middle Name

Last Name *

E-mail Address *

Date of Birth * / /

Gender Male Female

Primary Phone

Alternate Phone

How would you prefer to be notified of overdues, holds, bills, etc.? Which location would you prefer for picking up library materials placed on hold?

Local Address Street Address *
Apartment Number, etc.

City *

County *

ZIP Code * -

Alternate/Permanent Address Are you a college student or living in Mid-Missouri on a temporary basis?

Agreement

I agree by submitting this form that I am responsible for the selection and return of library materials as well as computer usage assigned to this card.

* required

Daniel Boone Regional Library

Library Card Application