Dayton Metro Library Card Registration

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DML Online Card Application
Full Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Please enter a valid phone number.
Email*

Verify Email
4-Digit PIN*

Verify Pin
Agree to receive important information, Library news, and support opportunities through email and occasional mail from The Dayton Metro Library
NOTE: PROVIDING FALSE INFORMATION IS A FELONY OF THE THIRD DEGREE, PUNISHABLE BY FIVE YEARS IN PRISON AND A MAXIUMUM FINE OF $10,000 O.R.C. Ann. 2913.42(A)(4)

I understand that by typing my name in the box below, I am confirming the information I have provided is correct.
Signature of Applicant*
Captcha*
Please take a moment to look over the form and make sure your information is correct before submitting.
If there are any issues or errors you may have to restart the form.
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