School Name

Name of school where you work

School Address

The address of the school

Title

First Name

Middle Initial

Last Name

Home Address

City

State

ZIP Code

Phone 1

Phone 2

eMail Address

Cell Phone Number

If you would like to receive additional text messages regarding items coming due or overdue, please provide your cell phone number and carrier:

Carrier

Your mobile phone provider

Age Range

Turn on Reading History

Would you like to turn on your reading history?

Late Fees

I acknowledge that I am responsible for loss, damage, and late fees

Code of Conduct

I agree to adhere to all Wilton Library policies which can be found at www.wiltonlibrary.org/policies-conduct