Indicates required field Programs and services are Americans with Disabilities Act (ADA) Compliant. Accommodations can be requested in advance by contacting the library. Please complete this form at least 3 business days before the program to notify the branch of your request. (Please allow 14 days for an ASL interpreter) Please speak with a library staff member if you need assistance completing this form. Name Phone Number In case we need to contact you for more information. Email Address Branch Location - Select -Administrative OfficesAldine Branch LibraryAtascocita Branch LibraryBaldwin Boettcher Branch Library @ Mercer ParkBarbara Bush Branch LibraryClear Lake City-County Freeman Branch LibraryCrosby Edith Fae Cook Cole Branch LibraryEvelyn Meador Branch LibraryFairbanks Branch LibraryGalena Park Branch LibraryHigh Meadows Branch LibraryJacinto City Branch LibraryKatherine Tyra Branch Library @ Bear CreekKaty Branch LibraryKingwood Branch LibraryLa Porte Branch LibraryLone Star College-CyFair LibraryLone Star College-Tomball Community LibraryMaud Smith Marks Branch LibraryNorth Channel Branch LibraryNorthwest Branch LibraryOctavia Fields Branch LibraryParker Williams Branch LibrarySouth Houston Branch LibrarySpring Branch Memorial Branch LibraryStratford Branch LibraryWest University Branch Library Name of program you plan to attend Date of Program Does this program require registration? Yes. I have registered. Yes, and I need assistance to register. No Please describe your accessibility request in as much detail as possible. Include any information you would like us to know You are not required to disclose your medical information. You are only required to describe how we can make our program accessible to you. For example: "I need space to maneuver a wheelchair", "I need a sign language interpreter", "My child may need a quiet space to take a break from the activity", etc. Your information will be kept confidential, and only shared with necessary personnel. We will make every reasonable effort to fulfill your request. We may contact you to discuss your request.