Register for Accessible Library Services

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Personal information on this form is collected under Section 31(c) of the Freedom of Information and Protection of Privacy Act and will be only for the purpose of providing library services. Questions regarding the collection and use of this information can be directed to the Director of Libraries & Archives at P.O. Box 2000 Charlottetown, PE C1A 7N8.

Identification
Enter information for the participant who will be recieving the service.
For example: C1B 0X1 or 12345
For example 902-555-5555
Accessible Services Information (choose all that apply)
Caregiver/Designate Information
Only complete this section if you are applying on behalf of the person receiving the services.
For example 902-555-5555
Acceptance

I acknowledge that I have a perceptual disability as defined under the Canadian Copyright Act and that I may be called upon to provide proof of such disability from a competent authority. Competent authority is defined to include doctors of medicine, ophthalmologists, optometrists, registered nurses, registered therapists, professional staff of hospitals, institutions and public agencies (e.g. vision rehabilitation specialist, social workers, case workers, counsellors, teachers and school district superintendents). A CNIB client number will be accepted as a competent authority. Library materials restricted to people with print disabilities (eg DAISY talking books) are for my personal use only. I will not copy, share or redistribute these materials.