LSSU Community Patron Registration Form

About

Campus Map

Contact LSSU

For Bayliss Public Library and Les Cheneaux Public Library use only

Please complete the form below

"*" indicates required fields

Name*

First Middle Last

Date of Birth**

Home address: *

Street Address City State / Province / Region ZIP / Postal Code Country

Phone**

Email**

Over 18? *

If under 18, has parent/guardian signed paper form?

Barcode assigned **

Kenneth J. Shouldice Library