OC Public Libraries

Electronic Library Card Application

Request will expire on : 04 - 26 - 2014

Library Card Applicant

* Indicates a required field.

Name:    First: *    Middle:     Last: *
PIN: *    (Create a PIN, 4-10 Letters/Numbers to access account online)

Birth Date ( mm / dd / yyyy ): *        Gender*: Male        Female

Please select the branch where you would like to pick up your new library card: *

 

 

California Residence

Please fill in your current address information.


Mailing Address - Street: *    Apartment Number:

City: *    State: *    Zip Code: *   

To be notified for available holds or overdues enter up to two emails, otherwise you ll be notified at the primary phone number given

Email:        Email:

I prefer notification by: Email       Phone

Primary Contact Phone:

Work Phone:        Other Phone:

 

 

Identification

If the applicant is less than 18 years old, the Parentís/Guardianís name, date of birth and ID number are required fields; ID is required for all applicants 18 years or older.*

California Drivers License or ID Number: *


Parent / Guardian:    First:     Middle:     Last:

Parent / Guardian - Birth Date ( mm / dd / yyyy ):

 

* Indicates a required field.

You must bring photo ID and proof of address to obtain the card requested via this form.

Your library card is held at the branch you selected for 10 days after processing before being deleted from the system.

Acceptance Policy

Financial responsibility for all materials borrowed with this card belongs to either the cardholder or the legal guardian of the cardholder. It is the responsibility of said person to comply with all library rules and policies and to promptly notify the library of address changes and lost or stolen library cards. Unfiltered Internet access is available on upon request for adults and to children under 18 years of age with a parent or legal guardian present. For more information on our Internet Usage Policy click here.

Check box to accept policy: