Statement of Responsibility
a) I certify that the information on this form is correct.
b) I accept responsibility for those materials borrowed on the library card issued from this application. Responsibility for the choice of materials borrowed rest with the person(s) whose signature(s) appear on the signature lines below and not with the library system or its staff.
If the applicant is under 18 years of age or legally incompetent the applicant and parent/legal guardian must
complete the section below.