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2. Child's First Name*
3. Child's Last Name*
5. Child's Birth Date*
   Child's Birth Date
6. Name of Parent or Legal Guardian*
8. Texas Driver's License or Texas ID Number of Parent or Legal Guardian*
9. Email
11. Address*
13. City*
14. State*
15. Zip*
17. Phone Number*
18. Allow Computer Use

    1. Yes
    2. No
20. Password for Online Access to Library Account
    Must have at least seven (7) characters including numbers and letters.
21. Would you like to receive text notifications for items on hold?

    1. Yes
    2. No
22. If so, choose your carrier
    -- Select One --AT&T Mobility/WirelessBoost MobileConsumer CellularCricketGoogle FiH20 WirelessMetro PCSRepublic WirelessSprint PCSStraight Talk/Page Plus CellularT-MobileTracFoneUS CellularVerizon WirelessVirgin Mobile
24. Student ISD

    Is your child enrolled at a Wise County ISD? If so, please let us know which one.

25. Grade

    If your child is enrolled at a Wise County ISD, please tell us which grade.

27. Library Card Design

    1. A
    2. B
    3. C
    4. D

    Please choose which library card design you would like.

29. A
    
30. B
    
31. C
    
32. D
    
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field