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Chappaqua Library Registration Form
All adults and children, who live, work, attend school or own property in the Chappaqua School District are eligible for a free Westchester Library System (WLS) card from the Chappaqua Library.
First Name(required)
Please type your full name.
Middle Initial
Please type your full name.
Last Name(required)
Please type your full name.
School District(required)
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Street Address(required)
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City(required)
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State(required)
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Zip Code(required)
Must be 5 digits
Telephone No(required)
must be formatted 123-456-7890
E-mail(required)
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Previous WLS Card?(required)
Yes
No
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Is this your very first library card? (for children)
Yes
No
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Comments
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Add any additional information or comments here.
(required)
I accept responsibility for all materials borrowed on my card. I agree to give immediate notice of address changes or card loss and to pay all fees and fines charged for overdue, damaged, and lost materials
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Type this to tell us you're human!(required)
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Your library card will be mailed to you.
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