Kitchener Public Library - Online Registration Form

ABOUT YOUR LIBRARY

ONLINE REGISTRATION FORM

Kitchener Public Library
85 Queen St N
Kitchener, Ontario
Canada
N2H 2H1

Do not use this form if you are already a member of Kitchener Public Library. If you previously registered, but no longer have your card, click here for information on how to replace a lost or stolen card.

*First Name:
Middle Initial:
*Last/Family Name:
*Street Address:
*City:
*Postal Code:
*Email Address:
Home Phone:
Business Phone:
*Birthdate (used as an identification number, year is optional):	Please enter as mm/dd/yy

**Select one method for notification of holds and overdues:*
	E-mail (quickest method)
	Automated phone call
	Mail (slowest method)

*Parent or guardian (if under 13):*
Parent last name:
Parent first name:
I accept responsibility for information accessed, both in print and electronic form (including the internet) or fines accumulated by my child.

*Required fields. These fields must be filled in for the application to be processed
The information on this form is collected under the authority of the Ontario Public Libraries Act R.S.O. 1990**, and will be kept strictly confidential. Membership information may be shared wtih Waterloo Public Library. (Revised January 2006)
This request will be processed within 24 hours (excluding Sundays and holidays)

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