New Brunswick Public Libraries

NBPLS Talking Book Service Registration Form

Are you a New Brunswicker who is unable to read standard print due to a vision impairment, a physical disability or learning disability? Are you interested in accessing reading material in alternative formats such as DAISY and MP3 audio books on CD, braille, described video, e-audio, e-text or e-braille? We can offer you a wealth of alternative format collections for all ages with various access options: your local public library, direct download or home mail delivery. If you are interested in receiving this service, please fill out this registration form. A member of our staff will contact you by phone to complete your registration. If you need assistance to complete this form, please contact the Provincial Talking Book By Mail Service (1-888-759-3535).

Your contact information:

First Name: 

Last Name:   

Telephone:    

Mailing Address: 

City or Town: 

Postal Code:    

Email (*optional): 

Note: Providing your email is optional. Provide it only if you would like to receive email notifications about your account (e.g. courtesy reminders, hold pick up notices, overdue notices, etc.)

Name of a Parent or Legal Guardian
(for applicants younger than 13):

Year of Birth: 

Note: The year of birth is collected to measure the use of our services by patrons of different age groups and to better plan services based on user demographics.

Language in which you prefer to be contacted?

English

French

English

French

Delivery method (check all that apply)

I want Talking Books to be shipped to me by mail.

I want to pick up Talking Books at the library.

Eligibility

A print disability prevents or inhibits a person from reading standard print. You are eligible to access library materials restricted to people with print disabilities (e.g. DAISY books) through the public library if you have a print disability due to a vision impairment, learning disability or physical disability in accordance with the definition provided for “perceptual disability” in the Canadian Copyright Act. The type of disability is collected to measure the use of our services by patrons and to better plan services based on user demographics.

Please select the perceptual (print) disability that applies to you.

A visual disability: severe or total impairment of sight or the inability to focus or move one's eyes. 

A physical disability: the inability to hold or manipulate a book. 

A learning disability: an impairment relating to comprehension. 

Agreement

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 (e.g. DAISY talking books) are for my personal use only. I will not copy, share or redistribute these materials.

I acknowledge and agree to these terms and conditions: 

Signature:


 Date: 

If you are completing this form on behalf of someone else, please provide your name and contact information:

First Name: 

Last Name: 

Telephone:    

Email: 

Submit form

Press submit (below) and a member of our staff will contact you to set up your library service.