For Users Outside of Service Area

The Conway County Library provides public access to computers, the Internet, and other electronic sources as part of its services to the community. This service is free of charge, other than 15 cents per black and white page or 75 cents per color page for printing.

In accordance with Arkansas State Code 13-2-103(a) (3), all users of library electronic resources must sign the following agreement prior to use of any library computer equipment or services.

I have received a copy of the Conway County Library Computer and Internet Access Policy. I have read, understand, and agree to abide by the terms of this policy. I understand that by my continued use of the Library’s computer services, I agree to continue to be bound by the specifications of the policy, and that violation of the terms of the policy may result in my use of the library’s computer services being suspended or revoked.

SIGNATURE____________________________________________DATE_______________

PRINT FULL NAME _________________________________________________________

ADDRESS __________________________________________________________________

CITY ____________________________________ STATE _____________ ZIP___________

PHONE NUMBER _______________________ DATE OF BIRTH ____________________

I am 18 or older_____ I am under 18_____

______________________________________________________________________________

TO BE COMPLETED IF THE ABOVE SIGNED IS UNDER 18 YEARS OLD:

As a parent/legal guardian of the above signed minor, I have received and read a copy of the Conway County Library Computer and Internet Access Policy and agree that the minor for which I am responsible may use library computer services, including Internet access.

SIGNATURE_____________________________________________DATE________________

PRINT NAME_______________________________________________________________________