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Before filling out this form, please click and read this link for residency requirements. If your card has been lost or stolen, here's what to do. The circulation rules can be found here. Please read all the instructions and answer all questions on the registration form below. Then click the submit button at the bottom of the form. Be advised that data in the form might be stored in the browser's cache and does not travel over a secure line. Please close browser when done.

Please fill out the form below:

Last Name:*
First Name:*
Middle Name:*(if you have no middle name, enter "none")
Former Last Name:
Birthday: (MM/DD/YYYY)*
Parent/Guardian Full Name: (required if under 19 years of age)
Current Street Address:*
City:*
State:*
Zip Code:*
Home Phone:
Work Phone:
Cell Phone:
Please check the phone number at which you can receive automated messages regarding holds or overdue items. If you do not want to receive automated calls leave this section blank.
	Home Work Cell
Email:
May we email you about holds or overdues?	Yes No
May we email you about library events?	Yes No
Ethnicity:
Gender	Male Female
* Fields are required. For security purposes, at the time of card validation you will be asked to assign a PIN to your account. Customer Responsibilities - Please Read Carefully (You may also request a copy of these responsibilities if you wish.) I understand that I am responsible for returning all Omaha Public Library materials borrowed on my Library card on time and in good condition to avoid fines, damaged or lost fees. I agree to pay the applicable fines/fees if materials are damaged, lost, or returned late and I understand that unpaid fines and fees may be turned over to a collection agency. I understand that it is my responsibility to contact Omaha Public Library immediately if my Library card is lost or stolen to prevent unauthorized use. I understand that it is my responsibility to give immediate notice of changes in address, telephone numbers or email. I understand that the Library will attempt to contact me regarding items being held for me or items that are overdue, but that such notification is a courtesy and is not guaranteed. I understand that my Library account is protected by law in the State of Nebraska and that information will not be given over the telephone about my account without my account number and personal identification number (PIN). I understand that the Library provides access to licensed databases and I will not allow my card to be used by another person, group or institution to access licensed databases.
Verification characters:*

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