Student Library Card Application

2. Attention

   This form is intended only to be submitted by students and parents or legal guardians of students in Woodbridge Township. For all other library card applicants, please see the general requirements of library membership. Thank you.

4. Student's School Information

6. School Name*
   -- Select One --Avenel Middle SchoolAvenel Street School Number 4/5Claremont Avenue School Number 20Colonia Middle SchoolColonia High SchoolFord Avenue School Number 14Fords Middle SchoolHome SchoolIndiana Avenue School Number 18Iselin Middle SchoolJohn F. Kennedy Memorial High SchoolKennedy Park School Number 24Lafayette Estates School Number 25Lynn Crest School Number 22Matthew Jago School Number 28Mawbey Street School Number 1Menlo Park Terrace Number 19Oak Ridge Heights School Number 21Pennsylvania Avenue School Number 27Port Reading School Number 9Robert Mascenik School Number 26Ross Street School Number 11Woodbine Avenue School Number 23Woodbridge Middle SchoolWoodbridge High SchoolOther
8. Other

   If the student attends a school in Woodbridge Township not listed in the previous list, please choose "Other" and enter the name of the school here.

10. Grade*
    -- Select One --Preschool (Pre-K)Kindergarten (K)1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th Grade

    The current grade of the student. During the summer break, the student's current grade is the one they will begin in the fall.

12. Homeroom Teacher's Name*
13. Homeroom Teacher's Phone Number

15. Student's Information

17. First Name*
18. Last Name*

20. Student's Home Address

22. Street Address*
24. City*
25. State*
26. Zip Code*

28. Parent or Guardian's Information

    Please provide at least one contact number in addition to an email address.

30. Email Address*
32. Home Phone Number
33. Cell Phone Number
34. Other Phone Number

36. Student's Library Card

38. Current Library Card Status*

    1. Student needs a new library card.
    2. Student has a library card.
    3. Student needs to update library card.
    4. I am unsure if student has a library card.

40. Terms & Agreement

42. Terms of Application & Agreement*

    By submitting this application, I declare that all information provided is accurate and I accept and agree to adhere to all rules and regulations of the Woodbridge Public Library. I accept responsibility for all use of the library card, all materials checked out on the card all charges made against it. I agree to promptly pay all fees charged to my library account for damaged, lost or late materials. I agree to provide timely notice of address change or loss of card.

    1. I am the student applying, am in or above 8th grade, and agree to the stated terms.
    2. I am the parent or legal guardian of the student applying and agree to the stated terms.
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44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit

* indicates a required field