Skip to Main Content
Do Not Show Again
How Do I...
Select a Category
Ask a Librarian
Book Club Form
Fine Art Fair
Library Card Application
Library Concierge Book Recommendations
MPL Book Happenings e-Newsletter
Online Citizenship Test Prep Registration
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Sign in to Save Progress
Library Card Application - Under Age 13
This form has been modified since it was saved. Please review all fields before submitting.
You will receive your child's card within 10 business days. If there is a problem with your application, a Circulation Services staff member will notify you as soon as possible.
I am the parent/legal guardian of a child under the age of 13, and
applying for their first Moline Public Library card.
renewing their expired Moline Public Library card.
replacing their lost or stolen Moline Public Library card ($3 replacement fee due upon activation of card).
Child's Last Name
Child's First Name
Child's Middle Initial
Parent/Legal Guardian's Last Name
Parent/Legal Guardian's First Name
Parent/Legal Guardian's Middle Initial
Residence (street address)
PO Box (if applicable)
Non-Moline residents are ineligible to apply.
Birthdate of Child
Birthdate of Child
Applicant must be under 13 years old. For parents or guardians applying on behalf of their child, please use Library Card Application - Ages 13 and Older.
Telephone Number (with Area Code)
How would you like receive notices for available holds or overdue items?
e-mail (includes courtesy reminder notices 3 days before items are due)
I will obey all rules and regulations of the Library, pay fines for any lost or damaged items borrowed on my card, and give immediate notice of change of address.
I understand that the Illinois Library Records Confidentiality Act (75 ILCS 70) prohibits library employees from sharing information with parents or legal guardians about what children have checked out or requested from the library.
By providing my email address, I agree that I will receive occasional email communication from the Moline Public Library.
You may unsubscribe any time from the footer of any e-mail. The library will never share, distribute, or sell your e-mail address.
To activate this card as the applying parent/legal guardian, I will present valid photo ID and proof of residency at the Moline Public Library AND have the child present.
Moline Public Library Circulation Policy
Includes more information on children & privacy, lost & damged items.
Leave This Blank:
Receive an email copy of this form.
This field is not part of the form submission.
* indicates a required field
Checking Out Library Materials
Out of System Loan Requests
Return of Library Materials
Slideshow Left Arrow
Slideshow Right Arrow