Full Name
*
Please enter your name.
Please enter a valid name.
Library Card Number
*
Please enter your library card number.
Please enter a valid library card number.
Branch
*
-- Select only one branch --
Cumming Library, 585 Dahlonega St, Cumming, GA 30040
Hampton Park Library, 5345 Settingdown Rd, Cumming, GA 30041
Post Road Library, 5010 Post Rd, Cumming, GA 30040
Sharon Forks Library, 2820 Old Atlanta Rd, Cumming, GA 30041
Please select a branch.
Email Address
*
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Phone Number
*
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Please enter a 10 digit numbers only.
Grade
*
-- Select an Age Level --
Pre-k
K
1
2
3
4
5
Middle School
High School
Adult
Please select an age level.
How Many Item(s)
*
-- Select --
1
2
3
4
5
6
7
8
9
10
Please select the number.
What type of books would you like?(for example: genre, author readalike, subject matter, etc.)
*
Please enter the type of books.
Comfort Level with Violence
*
-- Select --
Not at all comfortable
Somewhat comfortable
I don’t have a problem with it
Please select your Comfort Level with Violence.
Comfort Level with Sexual Content
*
-- Select --
Not at all comfortable
Somewhat comfortable
I don’t have a problem with it
Please select your Comfort Level with Sexual Content.
Check Material Preferences
*
Book on CD
DVD
Hardback regular print
Large Type
Paperback if available
Please select at least one.
Additional Notes