Library Card Registration Instructions

Please read the following before completing the Library Card Registration form.

A library card with Cumberland County Library System opens up a world of possibilities! In addition to
checking out materials, your library card provides access to over 50 professional reference databases
and a variety of library services. Cumberland County Library System makes it easy for you to manage
your library account 24-hours a day through our online catalog and an automated telephone system.

To obtain a Library Card with the Cumberland County Library System, you must:

1. Apply in person at any Cumberland County Library System member library. Be prepared to
provide the completed Library Card Registration form, photo identification and proof of your
current address.

ONE ID REQUIRED OR TWO ID’s REQUIRED – One from Col. 2 and One from Col. 3
Identity & Address Identity Verification Address Verification
Verification (Column 2) (Column 3)
(Column 1)

Valid driver’s license with Valid driver’s license with old Local or county tax statement
current address. address (addressed to applicant)
Valid passport Current lease agreement
Valid non-driver’s
identification card with Military ID Current utility bill addressed to
current address. applicant (phone, gas, electric,
Birth certificate
water, cable)
Social security card
Current bank statement or pay
“Green card” stub.
Current school picture ID Vehicle registration (registered to
applicant)
Employment picture ID
Voter Registration Card
Return of postmarked postcard
mailed by library to applicant.

2. Be eligible for a free card. Anyone who lives or pays property tax in Cumberland County or
resides in the Shippensburg Area School District, or is a Pennsylvania resident holding valid
Access Pennsylvania library card is eligible for a free card. If you live outside Cumberland
County and do not have a valid Access Pennsylvania card, you may purchase a non-resident
card for $5 per month.

3. Be age 17 or older; library cards are for people of all ages, and anyone younger than 17 may
apply for a card, however, you must have a signing parent or guardian with proper identification
present.

Mailed, faxed and emailed applications will not be accepted. Please fill out the form below, print it
and take it your local Cumberland County Library System member library. For library locations and
hours visit our website, or call 717-240-7889 (or toll-free at 1-888-697-0371 x7889.)

Library staff can provide you with a Customer Guide and answer your questions. More information on
using your library card, our policies and answers to our most frequently asked questions are available on
our website at www.ccpa.net/ls.
 Library Card Registration
Please print this form and bring it to your local library.
Identity and address verification are required upon application.

Name:
Last (Jr./Sr./ III) First Middle Initial

Address
Permanent:
Street Address/PO Box Apartment # City State Zip Code

Temporary: (If different from above)

Street Address/PO Box Apartment #

Temp. Phone: ( ) End date: ____/____/____

City State Zip Code (Estimated last date at this address)

Email: Home phone: ( ) 9

Yes! Please email my hold & overdue Work phone: ( ) 9
notices. Please check ; your primary contact phone.
Birth date: _____/_____/_____ Create PIN (4 numbers): ___ ___ ___ ___
Month / Day / Year

Birth dates are required for the library to comply with the Federal Children’s Internet Protection Act.
PINs (Personal Identification Numbers) are used to renew items and place holds online and to use library computers.

Special Notice to Parents and Guardians:

The library system complies with Federal laws requiring Internet access to be filtered for children under age 17.
However, filters are not perfect. Please establish rules for Internet use and accompany your children to the library
each time they visit. To help families with providing supervision, parents may block their child’s library card from using
Internet Computers. Your decision may be changed at any time by notifying library staff. (Note: Children with blocked
cards may still use the library’s Express and Research Computers. These computers have restricted access to web
sites listed in the library catalog and reference databases purchased by the library system.)
_____ Yes. Allow filtered Internet use. _____ No. Block filtered Internet use.
Initials Initials

Which Cumberland County library do you use the most?: (Please choose one only.)
… Amelia Givin Public Library (Mt. Holly Springs) … John Graham Public Library (Newville)
… Bosler Memorial Library (Carlisle) … Simpson Public Library (Mechanicsburg)
… Fredricksen Library (Camp Hill) … New Cumberland Public Library
… East Pennsboro Branch (Enola) … Shippensburg Public Library
Please indicate: … Female … Male County:

Township or Borough: School District/College:

(If currently attending, list school name)

Please review the library registration agreement below:

I agree to present my card each time I borrow items or use library computers. I will be responsible for fines and for
lost or damaged items borrowed on my card. When using library materials or computers, I will comply with the library
system’s policies. I will report address changes or the loss of my card immediately. Parents or guardians who have
co-signed for their child’s juvenile card may obtain information regarding their child’s library card account.

Customer signature If under 17, parent/guardian signature (Print parent or guardian name)

Staff Initials: _________ Date: ________ ID: _________________________ Library Barcode #: _________________________________________
09/05