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Libraries
Application for Library Membership
Kirklees Information - Huddersfield Library
cultural.services@kirklees.gov.uk
To apply for membership of Kirklees Libraries, complete this form.
Please fill in all parts of this form which are marked with a
*
Privacy statement.
The information you provide will be used only within Kirklees Metropolitan Council Cultural Services for the purposes of Library Administration. It will not be used for any other purpose or disclosed to any other person or agency without your consent.
Your Details
Title
Dr
Miss
Mr
Mrs
Ms
First Name
*
Last Name
*
Day of Birth
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month of Birth
January
February
March
April
May
June
July
August
September
October
November
December
Year of Birth
*
House Number & Street Name
Area
Town
Postcode
For students who do not normally live in Kirklees
House Number & Street Name
Area
Town
Postcode
College
College
Course
Contact Details
Telephone Area Code
Telephone Number
Email Address
Mobile Phone Number
Disability Information
The information you provide below will help us to ensure that our services are accessible equally to all sections of the community. It will not be used for any other purpose and will not be disclosed outside Kirklees Council Cultural Services.
Do You Consider Yourself to be a Disabled Person?
Yes
No
Does your disability affect your...
Hearing
Mobility
Vision
Other
Which ethnic group do you consider yourself to belong to?
White
Black Caribean
Black African
Black Other
Pakistani
Bangladeshi
Chinese
Asian Other
Other
Choose the library you want to collect your card from
Choose a library from the list
Select a Library
Almondbury
Batley
Birstall
Cleckheaton
Denby Dale
Dewsbury
Golcar
Heckmondwike
Holmfirth
Honley
Huddersfield
Kirkburton
Kirkheaton
Lepton
Lindley
Marsden
Meltham
Mirfield
Ravensthorpe
Shepley
Skelmanthorpe
Slaithwaite
*
Note: When you collect your library card you will need to sign it.
You will need to bring with you proof of your name, address and signature. e.g.
Your driving license or
a utility bill and a credit card
If you are under 16 your Parent or Guardian must sign for you. They will be held responsible for any items you borrow.
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