Newton Public Library Internet Station Sign-Up Sheet

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Newton Public Library Internet Station Sign-Up Sheet
The Newton Public Library “Electronic Services Policies”, and “Internet and Email Access Procedure” have been
presented to me and I agree to abide by them. I understand that library users are responsible for materials that are
accessed. Parents/guardians of minors are responsible for monitoring materials accessed by minors. I understand the
violation of the NPL policies and procedures will result in loss of compute privileges at Newton Public Library.


Request Access To:
1-hour internet station
15-minute internet station

Print Name_______________________________________
NPL Library Card presented

Photo ID presented:
ID Title __________________________ ID #__________________________
Signature_____________________________________Date_______________________ Staff Init._______
Time Reserved_______________________ Date/Time Library Card/ID returned______________________
Newton Public Library Internet Station Sign-Up Sheet
The Newton Public Library “Electronic Services Policies”, and “Internet and Email Access Procedure” have been
presented to me and I agree to abide by them. I understand that library users are responsible for materials that are
accessed. Parents/guardians of minors are responsible for monitoring materials accessed by minors. I understand the
violation of the NPL policies and procedures will result in loss of compute privileges at Newton Public Library.


Request Access To:
1-hour internet station
15-minute internet station

Print Name_______________________________________
NPL Library Card presented

Photo ID presented:
ID Title __________________________ ID #__________________________
Signature_____________________________________Date_______________________ Staff Init._______
Time Reserved_______________________ Date/Time Library Card/ID returned______________________
Newton Public Library Internet Station Sign-Up Sheet
The Newton Public Library “Electronic Services Policies”, and “Internet and Email Access Procedure” have been
presented to me and I agree to abide by them. I understand that library users are responsible for materials that are
accessed. Parents/guardians of minors are responsible for monitoring materials accessed by minors. I understand the
violation of the NPL policies and procedures will result in loss of compute privileges at Newton Public Library.


Request Access To:
1-hour internet station
15-minute internet station

Print Name_______________________________________
NPL Library Card presented

Photo ID presented:
ID Title __________________________ ID #__________________________
Signature_____________________________________Date_______________________ Staff Init._______
Time Reserved_______________________ Date/Time Library Card/ID returned______________________

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