West Hartford Libraries

West Hartford Public Library
Library Card Application

Last Name:

First Name:

Middle Initial:

Parent/Guardian Name (fill in for children through grade 8 only):

Address (1):
Zip:

Address (2):
Zip:

Email Address: Telephone:

The information below is requested for statistical purposes. Your answers will help us improve library service.

Date of birth (MM/DD/YY): Gender:

At which branch do you wish to pick up your card?
Today's date (MM/DD/YY):

You will need to present identification, such as a driver's license, showing your name and your current West Hartford street address when you pick up your card. Please allow two business days for card to be prepared.