Please fill out this application to make your request. Brooklyn Public Library’s TeleStory Scheduler will contact you shortly. Your Full Name Contact Phone Email Phone Email Full Name of Incarcerated Person What is the Incarcerated Person's DIN Number? What facility is the individual housed in? Are you a first time visitor or returning visitor - Select - first time visitor returning visitor Are there any legal restrictions in place that might prevent you from visiting with this individual? Yes No If yes, please describe Do you plan on bringing children with you on your visit? Yes No If yes, how many children? What are the ages of the children? What is your personal relationship to the incarcerated person? Spouse Common law spouse Parent of child in common Parent Stepparent Sibling Stepsibling Child Stepchild Grandchild Grandparent In-Law Niece/Nephew Aunt/Uncle Cousin Other… Enter other… Please select your first choice of visiting branch - Select -Brooklyn HeightsBushwickCanarsieCentralConey IslandCrown HeightsFlatbushMaconNew LotsNew UtrechtStone Avenue Please select your second choice of visiting branch - Select -Brooklyn HeightsBushwickCanarsieCentralConey IslandCrown HeightsFlatbushMaconNew LotsNew UtrechtStone Avenue Please select your first choice of visiting day - Select -MondayTuesdayWednesdayThursdayFridaySaturday Please select your second choice of visiting day - None -MondayTuesdayWednesdayThursdayFridaySaturday Which times are best for you? Is the incarceration known to all members of the family? Yes No List any books, games, characters, celebrities, that will help the child feel more at home during their visit to the library? Submit Leave this field blank