Library Card Registration Request

Library Hours

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
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