First Name: * Middle Name: * Preferred Name Last Name: * Birth Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year19231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023 Parent / Guardian First Name: * Parent / Guardian Last Name: * Mailing Address: * City: * Province - Nova Scotia Only * Postal Code: * Telephone number where you prefer to be contacted (10 digits required): * Email Address: NOTE: by providing your email address, you are agreeing to receive notifications about your library account by email. Municipal area of residence, please choose one: * - Select -Annapolis CountyKings CountyDistrict of West HantsTown of Annapolis RoyalTown of BerwickTown of KentvilleTown of MiddletonTown of WolfvilleOther If you are a seasonal resident, please provide your other mailing address (for mail out notices, etc.): Civic/Mailing Address: City: Province: Postal Code: The location where you would prefer to pick up material, please choose one: * - Select -Annapolis RoyalBerwickBridgetownHantsportKentvilleKingstonLawrencetownMiddletonPort WilliamsWindsorWolfville I, as the parent/guardian (enter name below), * understand that I am responsible for all library materials that my child reads or views. I agree to take responsibility for the materials borrowed on this card and to abide by the rules and regulations of the Regional Library. Review our Privacy Policy. Submit