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- Library Card Registration Request
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Library Card Registration Request
This form is for Wethersfield residents only. To sign up, please complete the form below. Fields with an asterisk (*) are required.
Name
*
Last
First
Middle Initial
Address
*
Street Address
Address Line 2
City
ZIP / Postal Code
Date of Birth
*
MM
DD
YYYY
Telephone (with area code)
*
Email
*
Name of Parent or Guardian (if under 18 years of age)
First
Last
Gender
Male
Female
Not Applicable
Other
Would you like to register to vote in the State of Connecticut? If you answer Yes, we will include a Connecticut Mail-In Voter Registration Form with our follow-up letter.
Yes
No