Visiting Library Service

Visiting Library Service New Client Form

Library Card # *

Items/Visit

Personal Information

Name *

Date of Birth *

Address *

If address is a LTC/retirement community, please indicate unit/room number and buzz code.

Phone *

Additional Notes

Emergency Contact

Name

Relationship

Phone

Consent to Disclose Library Account Information

The emergency contact listed on this form has permission to change information on my account (address, phone number, etc.) and the Barrie Public Library may disclose my account information to them. My emergency contact also has full access to pick up/drop off my library items.

I acknowledge that I have agreed to the terms outlined above. *

Notes and Preferences

Include any relevant reading preferences below, including favourite authors, subjects, or books, dislikes, etc.

Notes *

VLS Eligibility

A person may be eligible for VLS if they meet one or more of the following conditions:

They are not able to leave their home address or senior’s residence without assistance
They are confined to their home due to temporary immobilization because of accident, illness, or surgery
They are confined to their home seasonally (winter conditions)
They are the parents of multiples (eligible for up to one year of service)
They are the primary caregiver of a disabled or a critically ill individual, and are therefore unable to leave their home
They are physically unable to choose and/or transport library materials

Applications will be reviewed by library staff. VLS Patrons must have a Barrie Public Library Membership.

Note: The Library reserves the right to discontinue VLS at any time for any reason. VLS deliveries are always contingent on the availability of volunteers.

I acknowledge that I have agreed to the terms outlined above. *

How to Register