Library eCard Online Registration * indicates a required fieldFirst Name * RequiredMiddle NameLast Name * RequiredPreferred NameBirth Date - must be mm/dd/yyyy format * Required Date Format: MM slash DD slash YYYY Address * Required Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone Number * RequiredEmail Address * Required Enter Email Confirm Email Pin Number (4 digits) * RequiredSelect A Library Branch * RequiredMain Yuma LibraryFoothills BranchSan Luis BranchHeritage BranchSomerton BranchWellton BranchEmailThis field is for validation purposes and should be left unchanged. Close Can you tell me more about this webform submission? The contents of this webform are sent to library staff via email. We recommend that you do not submit confidential information (like your library card number, passwords or credit card information). If you need to share confidential information with library staff, we suggest that you use other channels of communication, such as the telephone.Visit our Privacy Statement, opens in a new window, opens a new window to learn more about how your personal information is handled and protected. This information will be submitted via email. Learn More about sending data over email.