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Winooski Memorial Library Card Form

  1. General Information
  2. Type of Card - Select One
  3. New Adult/Teen

        I will be responsible for any loss, damage, or fines for materials borrowed on my library card.

      1. New Children's

        I authorize my child to borrow any materials from the Winooski Memorial Library, without restriction. I will be responsible for any loss, damage, or fines for materials borrowed on my child’s library card.

      2. Renewal/Replacement
      3. Card Eligibility

        Please check only one. Provide physical proof of address.

      4. Resident
      5. Employee
      6. Student
      7. Property Owner
      8. Vermont Resident
      9. Preferred Method of Contact*
      10. Signature*

        By clicking yes, I hereby electronically sign this document and attest that the information provided here is true.

      11. Parent or Guardian Signature

        Required for children under 13. By clicking yes, I hereby electronically sign this document and attest that the information provided here is true.

      12. Leave This Blank:

      13. This field is not part of the form submission.