Library Card Application - High Point Christian School

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Library Card Application

Student Last Name *
Student First Name *
Middle Initial *
Grade *
Gender *
Male Female
I need to add another student *
Yes No
Student #2 Last Name
Student #2 First Name
Student #2 Middle Initial
Student #2 Grade
Student #2 Gender
Male Female
Mailing Address (Street, City, and Zip) *
Parent #1 Email Address *
Parent #2 Email Address
Parent Cell Phone #1
Parent Cell Phone #2
I agree to be responsible for material drawn on the library card issued in the above name, including material drawn on it by others with or without my consent unless I have previously reported the loss of my card. I promise to comply with all library rules and policies, and give prompt notice of change of address or loss of library card.
I understand and agree with the library rules and policy above. * (1 required)
I agree