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Membership Registration Form

After you submit this form, we will email you a card number and pin/password as soon as possible. If you upload proof of current Red Deer address, your membership/renewal will be good for 3 years. If you are not able to complete that section of the form, you will receive a temporary three month membership, after which you will need to resubmit the form or visit us in person with ID.

"*" indicates required fields

Application Type*

Under 18 Membership (Child/Teen)

Adult Membership

Name*

First Last

Child's Name*

First Last

Parent/Guardian Name*

First Last

Additional Parent/Guardian Name to Add to Account (optional)

First Last

Email*

Phone*

Date of Birth*

Child's Date of Birth*

Address (note: applicants must be City of Red Deer residents)*

Street Address Address Line 2 City Province Postal Code Country

Do you need a new card or to renew an existing card?*

For card renewals, please enter your library barcode number (if you have it).

Upload Proof of Current Red Deer Address

To upgrade to a full three-year membership, upload a copy of your driver's license showing your current Red Deer address or two pieces of other ID (one of which must contain your current address). If you do not complete this step, you will still receive a temporary three month membership, after which you will need to resubmit the form or visit us in person with ID.

Drop files here or

Accepted file types: jpg, png, pdf, jpeg, Max. file size: 30 MB.

Terms and Conditions*

By completing this form, I agree to be responsible for all materials borrowed on all cards issued under this application and to abide by the rules and regulations of the library where it/they are used.

The personal information contained on this application is used to provide you with library services at Red Deer Public Library. It may be used to verify membership, collect fines or debts owing, provide information about library services, and for statistical purposes. It is collected under the authority of Section 33(c) of the Freedom of Information and Protection of Privacy Act and it is protected under this act. If you have questions on disclosures or use of this information, please ask your library.

I agree to the Terms and Conditions.

Comments

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