Adult Patron Registration Request


	Buena Park Library District Library Card Registration Application

We will be happy to issue your library card to you upon completion of this online registration application. A response to your application may take up to 2 business days but will be provided as quickly as possible. Enter your email address below if you would like to have your new library card number emailed to you. This will allow you to use the online databases and reserve items before you actually pick up your card. The library will hold your card at the Check-out Desk for 6 months. Please pick it up at your earliest convenience. Bring identification (California Driver's License or California ID) with proof of current home address. All information is confidential. A parent or guardian must be present to show identification and sign for children under the age of 18 who have applied for a library card. *Use the Tab key to move from one field to the next.*

Last Name:

First Name:

Middle:

Mailing Address

Apt #:

City:

Zip Code:

Home Address:
(if P.O. Box used above)

Apt #:

City:

Zip Code:

Home Telephone :

Business Telephone:

Birth Year:

California Driver's License or ID
(last 3 digits only):

*Please f*ill in the fields below if you would like to have your new library card number emailed to you. This will allow you to use the online databases and reserve items before you actually pick up your card.
Email address:

By clicking on the "Submit Registration" button below,
I agree to be responsible for all items issued on this card: