Human Services Online Submission Forms

LYON COUNTY HUMAN SERVICES

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Library Card Application

Library Card Application
By filling out this application you acknowledge that you are responsible for all items checked out to your assigned library card. This includes lost or damaged items and late fees. This card is not transferable and must be presented at the time of use.
Contact Information
Date of Birth*
First Name*
Last Name*
Mailing address*
City*
State*
Zip*
Phone Number*
Email Address

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Email address

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