Online Library Card Registration Form \ Registro de Tarjeta
First Name \ Primer Nombre *
Middle Name \ Segundo Nombre
Last Name \ Apellido *
Email Address \ Correo Electrónico
Language \ Lenguaje *
Date of Birth \ Fecha de Nacimiento *
Phone \ Teléfono - format xxx-xxx-xxxx
Phone Type \ Tipo De Teléfono
 
Address \ Dirección
Street \ Calle *
City \ Ciudad *
State \ Estado *
Zipcode \ Código Postal *



Statement of Responsibility:
I agree to pay fines and all charges for lost and damaged materials promptly, and to give immediate notice of any change of address or loss of library card. If you are a parent or guardian signing your child up for a card – by submitting this form, you agree that your child’s library card will entitle them to check out materials from any part of the library and use the computer workstations. Internet access at the library is not filtered. Confidentiality of borrower information is protected by California law. And, as parent/guardian, you agree with the above statement about fines and charges.

Declaración de responsabilidad:
Pagare las multas y cargos por materiales que pierda o dañe y les informare si cambio de dirección y si se me pierde mi tarjeta. Doy permiso para obtener una tarjeta a mi hijo/a, y entiendo que la tarjeta de biblioteca da acceso a prestar materiales y uso de computadoras.
*This field is required \ Necesario