Please print, complete, and return to the library...

Jefferson - Adult Library Card

Last Name __________________ First Name ______________________

Address ________________________________ Zipcode ___________
Phone _________________________________

Email _________________________________

Children at Jefferson :

____________________ Teacher________________

____________________ Teacher________________

____________________ Teacher________________

Agreements for check out at Jefferson Library:

1. Adult patrons may check out up to 3 items as a time.
2. Items may be kept for two weeks.
3. If items are overdue, no additional items may be checked our until overdue items are returned.
4. I can help you find and check out items before and after school...or during times when I am not teaching library classes.
5. Children may return books for you, but cannot check out items for adults.

Welcome to our Library!!! Yvonne Davis 354-3184

Signature: _______________________ Date: __________