* indicates required field
Name*: 
Birth Date*: 
Home Address*: 
City, State Zip*: 
Is this address within Brookings city limits?*:  Yes, in city limits No, outside city limits
Phone Number*: 
Email Address*: 

Check box if you are an SDSU Student:   Yes, I'm an SDSU Student
                If yes, please enter your permanent/home address: 
                Permanent Address: 
                City, State Zip:  

Do you agree to the following?*      Yes, I agree.
I hereby apply for the privilege of borrowing items from the Brookings Public Library and promise to take good care of all items borrowed, to pay promptly all fines, damages, and costs charged against me, to obey the rules of the library, and to abide by all regulations set forth by the Brookings Public Library. A parent or guardian signing a library registration for a minor accepts responsibility for the minor's use of the library. 

You must upload a picture of your government-issued ID (driver's license, passport, state-issued ID) that includes your current Brookings County address. If it doesn't have your current Brookings County address, you must also upload a piece of mail that shows your name and your address. 

Upload Picture of government-issued ID*: 
Upload Picture of Piece of Mail: 


CARDS FOR CHILDREN:
If you need additional cards set up for your children or children you are a legal guardian for (under 18 years old), please include their full names and birthdates. By doing so, you agree that you are responsible for physical items checked out on cards created in their names: