Library Card Application

Solicitud de Membresía en Español

Proof of Residency is required for obtaining a library card.

Please Select A Home Library: *

Last Name: *

First Name: *

Middle Name:

Title:

Suffix:

Street Address: *

Apartment/Unit #:

City: *

State: *

Zip Code: *

Phone Number: *

Notification Preference:

Email

Telephone

Text Messaging**

Email Address: *

Specify Carrier: *

eReceipts: *

Yes

No

Email Address: *

Password:

Birth Month: *

Birth Day: *

Birth Year: *

Month

Day

Year

Age Group:

Alternate Street Address:

Apartment/Unit #:

City:

State:

Zip Code:

Alternate Phone Number:

Are you an Ocean County Educator applying for an Educator Card? *Proof of School Employment is required for obtaining an Educator Card*: *

Yes

No

Name of School: *

Name of Principal: *

Street Address: *

City: *

State: *

Zip Code: *

School Phone: *

Personal email address: *

Applicant’s job title or grade level: *

Are you under the age of 17?: *

Yes

No

If under the age of 17, signature of parent or guardian***: *

Are you currently a student in grades Pre-K through 12?:

Yes

No

District: *

School: *

Grade: *

Homeroom:

Would you like your library card barcode sent to your email?: *

Yes

No

Email Address: *

By signing below, I agree to follow all the rules and regulations of the Ocean County Library:

Signature:

**Standard text messaging fees apply

***The Ocean County Library holds parents and guardians responsible for the fines and fees associated with books and materials borrowed by their minor children under the age of 17.

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