Woodland Public LibraryInternet Use Application To use the Internet workstations, you must have a valid library card. Print this page, fill out the form, and sign it. Bring the signed form and your valid library card to the front desk. Last Name: First Name: Address: City, State, Zip Code: Home Telephone Number: Work Telephone Number: I have read and agree to abide by the Woodland Public Library Internet Use Policy and Procedures. I agree to make appropriate and responsible use of the Library's Internet workstations. I agree to pay all charges related to this use. I understand that any misuse will lead to revocation of my use privileges. _____________________________________ Signature of Applicant IF APPLICANT IS UNDER 14: _____________________________________ Signature of Parent or Guardian
Woodland Public LibraryInternet Use Application
Last Name:
First Name:
Address:
City, State, Zip Code:
Home Telephone Number:
Work Telephone Number:
I have read and agree to abide by the Woodland Public Library Internet Use Policy and Procedures. I agree to make appropriate and responsible use of the Library's Internet workstations. I agree to pay all charges related to this use. I understand that any misuse will lead to revocation of my use privileges.
_____________________________________
Signature of Applicant
IF APPLICANT IS UNDER 14:
Signature of Parent or Guardian
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