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I agree to assume responsibility for all materials checked out on my account including any fines, fees, or other charges that are accrued through use of this account.
By assuming this responsibility, any guardian or other financially responsible individual previously listed on my account will be removed from the account and no longer have any financial responsibility for fines, fees, or other charges associated with this account.
No individual beside the card holder will be provided access to account information or use of this account unless granted written permission by the cardholder using the Confidential Records Disclosure form.
This form and subsequent releases will be kept on file until otherwise requested by the patron.
This field is not part of the form submission.
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Approved by the Board of Trustees: 06/22/21Reviewed by Library Staff: April 2021