Update on Library Services

Effective Wednesday February 17, HPL branches are open for limited services including holds pick-up, computer use, printing and photocopying. More details on the COVID Updates page.

Publish Date:

Monday, February 22, 2021 - 11:15am

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Visiting Library Services - Participant Application Form

_{*We are currently experiencing issues with Internet Explorer for the online form, please use a different browser (Chome, Firefox) when applying online.}

Last Name *

First Name *

Residence/Assisted Living Facility

Address *

Apartment/Unit #

if applicable

City *

Postal Code *

Date of Birth *

Month

Day

Year

Phone Number *

Declaration of Eligibility

I declare that I am a resident of the City of Hamilton. I have an illness, injury or disability that prevents me from visiting the library in person or carrying library materials. I have been homebound or institutionalized for three (3) months or more.
I agree to be responsible for any loss or damage of library materials delivered to me as a result of this application and agree to abide by all rules and regulations of the Hamilton Public LIbrary Board.

Accept *

Alternate Contact Person

Please list a person that Visiting Library Service staff can contact if we are unable to reach you.

Name *

Phone Number *

Preferences

We keep a record of your reading preferences and the library materials you have borrowed in order to provide better service to you. This list and your personal information are kept confidential and are not shared.

Do we have your permission to keep this information in our files and/or computer? If you choose "no," you could receive materials that have been previously delivered to you. *

How many items would you like to receive per month? *

Some library material may contain content that may offend. Please choose any that you WILL accept:

Strong language?

Violence?

Explicit sex?

Favourite Authors

_{Personal information contained on this form is collected under the authority of the Freedom of Information and Protection of Privacy Act, 1990. MFIPPA\Regulations 29. The information collected will be used in the process of the library’s business. Questions regarding the collection and use of personal information can be directed to: Chief Librarian, Hamilton Public Library, P.O. Box 2700, Hamilton, ON L8N 4E4.}

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