Welcome to your Library! Lincolnwood residents can receive Lincolnwood Library cards by filling out the form below or stopping by the library. Don't live in Lincolnwood? Check with your home library for information about getting a library card, then stop by to register your home library card with us (library card and valid ID required). Name First Name Last Name Cardholder date of birth Address Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Do you live at senior living communities Lincolnwood Place - a Senior Lifestyle Community or The Carrington of Lincolnwood? Lincolnwood Place The Carrington at Lincolnwood No If you do live in Lincolnwood Place - a Senior Lifestyle Community or the Carrington senior living communities, would you like items delivered to you? Yes No Cell Phone (Phone 1) Home Phone (Phone 2) Email Address Select your notification method Text Phone Call Email If you selected text, please provide your carrier (AT&T, Verizon, T-Mobile, etc) Would you like to create a log of your reading history in your account? Yes No Would you like to ONLY receive email receipts for the items you check out? Yes No Signature By signing your name below, you verify that the information you have provided for this library card application is accurate, and you agree to comply with the policies, rules, and regulations of the Lincolnwood Public Library District. In addition, you will be responsible for payment for fines and loss of, or damage to, library property. You further agree to give immediate notice of any change of address. Parental Consent Signature If this application is for someone under 16 years old, I verify that I am the parent or legal guardian of this applicant, who resides with me at the address listed. I agree to accept full responsibility for their compliance with library policies, rules, and regulations as well as their selection and use of library resources. This includes payments for fines and loss of or damage to library property. I understand that use of library materials includes computers and internet access. I accept responsibility for my child’s use of the internet and understand that I may revoke my child’s computer and internet access by requesting to do so in person at the library. I understand and will comply with the library’s policy regarding the supervision of my child(ren). “Staff cannot assume responsibility for the supervision, safety, and entertainment of children who use the library, except with the limited context of defined library programs. This responsibility must be borne by the child's parent, guardian, or designated caregiver and cannot be ceded to—or forced upon—the library staff.”Please sign NA if the cardholder is over the age of 16. I decline internet access for my child(ren)'s account(s). Yes No Not Applicable CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.