Library eCard Application

Please complete the form below to get your Dayton Metro Library eCard.
* Fields with a bold heading are required.

Legal Name (Last)

Legal Name (First)

Birth Month, Day, + Year

Middle Name

Home Address

Alternate Address

City

State

Zip

Phone (Preferred)

Phone (Secondary)

Four-Digit PIN

Verify PIN

E-mail

Verify E-mail

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The Friends of the Library and the Dayton Metro Library Foundation will email (and occasionally mail) important strategic updates, volunteer and support opportunities to you unless you check here:

The Dayton Metro Library will email (and occasionally mail) important information and Library news to you unless you check here:

PARENTS/GUARDIANS: If you wish to restrict the materials which your child(ren) may borrow, you can complete a Request for Restriction of Juvenile Borrowing Privileges form. For more information on the form, please ask a Library staff member.

NOTE: PROVIDING FALSE INFORMATION IS A FELONY OF THE THIRD DEGREE, PUNISHABLE BY FIVE YEARS IN PRISON AND A MAXIUMUM FINE OF $10,000 O.R.C. Ann. 2913.42(A)(4)

I understand that by typing my name in the box below, I am confirming the information I have provided is correct.

Signature (of Applicant)

Signature (of Parent/Legal Guardian)

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Please look over the form and make sure your information is correct before submitting your self-registration.
If there are any issues or errors you may have to re-fill in the form.

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Library eCard Application

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