English eCARD Application

Name

First Name*

Please enter your firstname

Middle Name

Please enter your middle name, letters only.

Last Name*

Please enter your last name, letters and hyphens only

18 Date of Birth* Month January February March April May June July August September October November December Day Year 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910

Please select your date of birth.

If you are under the age of 18 you must have your guardian's consent and complete registration at the library.

If you are under the age of 18 you must have your guardian's consent and complete the following information.

Check here if your child may checkout DVD and video cassettes

You must check this box in order to register

Parent/Guardian First Name*

Enter your Parent's first name.

Parent/Guardian Last Name*

Enter your Parent's last name.

Fort Worth Home or Property Address

Please enter your home or property address. PO Boxes and mailing addresses not allowed.

Street*

Enter your street address.

Apt/Unit

Enter your apartment number.

City*

Enter your city.

Zip Code*

Enter your zip/postal code.
Example: 45287 or 45287-9586

Contact Information

Notification Preference Mail Email Telephone TXT

Email Address*

Enter your email address.

Email Address (Confirm)*

Confirmation email must match your email address.

Telephone*

Enter your phone number, numbers only

The last 4 digits of this phone number will be your default password.
You can change it by logging into your Library account.

Mobile Phone Carrier Please Select ALLTEL Assurance Wireless AT&T Bell Canada Bell South Boost Mobile Cellular One Cellular South Cingular (Now AT&T) Consumer Cellular Cricket Fido Great Call Helio MetroPCS Nextel Page Plus Cellular Qwest Rogers AT&T Wireless Rogers Wireless Simple Mobile Sprint Straight Talk T-Mobile Telus Ting Tracfone Ultra (Univision Wireless) US Cellular USA Mobility Verizon Virgin Mobile Virgin Mobile Canada Wind Mobile Canada

Please select your mobile phone carrier.

Required for mobile phone only. Carrier Texting fees may apply.

Other Information

Select Local Branch* Select Local Branch Cambridge Court Central Diamond Hill - Jarvis East Berry East Regional Ella Mae Shamblee eSkills Golden Triangle Northside Northwest Ridglea Riverside Seminary Southwest Regional Summerglen Wedgwood

Select the branch you'll use most often. If you're only using online services, select Central

Gender Female Male N/A

Statement of Responsibility

By submitting this form and as the authorized user, I accept responsibility for all uses of this account including fines incurred and lost, damaged, and stolen materials borrowed on it. I agree to report any changes to the patron information connected with it. I agree to follow the Fort Worth Library's Circulation Policy

Please check "I'm not a robot" in order to click the Submit button.