NCL Card Request for Schools

Child's Name

First Name

Last Name

Student's Grade

Child's Date of Birth

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Student's Email

Students 16 and older with a photo ID may complete this section for themselves.

Name of Parent or Guardian

First Name

Last Name

Parent's Email

Parent's Phone Number

Photo of Parent or Guardian's ID

Choose File

One file only.
100 MB limit.
Allowed types: gif, jpg, jpeg, png.

By providing this information you understand that you hold the responsibility of this card and any materials your child checks out as well as associated fines incurred.

New Canaan Library

NCL Card Request for Schools

Students 16 and older with a photo ID may complete this section for themselves.

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