Library Card Application

I have not previously had a Coastline library card.

This application is intended for first-time Coastline library cardholders. If you have previously had a Coastline library card, please contact the library at (541) 269-1101 for assistance.

Card Applicant Information

First Name

Middle Name

Last Name

Date of Birth

How would you like to receive notices from the library?

Phone

Cellular number required to receive text message notifications.

Email

Mailing Address

Address

Address 2

City

State

ZIP Code

Driver's License Number

Please include the issuing state.

Is your street address different from your mailing address?

Yes

No

Street Address

Address

Address 2

City

State

ZIP Code

Is the person applying for a card under 18 years old?

Yes

No

Parent/Legal Guardian Information

Parent or Legal Guardian Name

Parent/Legal Guardian Phone

Parent/Legal Guardian Address

Address

Address 2

City

State

ZIP Code

Library Card Agreement

Cardholder's Electronic Signature

Today's Date

Your card must be presented to check out materials. Your card is valid at all Coos/Curry County Public Libraries and the Southwestern Oregon Community College Library. Materials can be returned to any Coos/Curry County Public Library and the Southwestern Oregon Community College Library. Materials may be checked out by cardholder only. Card is NOT transferable. Any library can inform you of items checked out on your card. Your record is also viewable online at www.cooslibraries.org. Video material check out times are 7 days from the day they are checked out. Most other items are due 3 weeks from the day they are checked out. Coastline Libraries protect the confidentiality of library patron records under Oregon State Law, ORS 192.502.22. Library patron records are updated annually. Report lost or stolen cards immediately to protect your account. A fee of $1.00 will be incurred by the holder for card replacement. UNDER OREGON LAW PARENTS OR LEGAL GUARDIANS CAN BE HELD RESPONSIBLE FOR OVERDUE OR LOST ITEMS, AND FINES OR FEES ASSOCIATED WITH A CARD ISSUED TO A MINOR. *Patron understands that email notification replaces print/mailed notices, and correspondence concerning fines, overdue materials, hold notices, etc. will only be sent to the email address provided.

I agree to the terms and conditions listed above.

Library

Holiday Closure

Library Card Application

Card Applicant Information

Parent/Legal Guardian Information

Library Card Agreement