Student ID Form

Students, grade 7-12, can print this form to use as identification for getting a library card at the Pollard Memorial Library. You must have this form filled out and stamped by your school for it to be accepted as identification.

DATE _______________________

NAME OF STUDENT____________________________________________________

GRADE_______________________________________________________________

is officially enrolled in the school stamped below.

ADDRESS OF STUDENT _________________________________________________

___________________________________________________

TELEPHONE NUMBER OF STUDENT________________________________________

PARENT'S SURNAME____________________________________________________
(if different from child's)

TEACHER'S SIGNATURE__________________________________________________

SCHOOL STAMP