Online Card Registration: Resident Card Account

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User

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Address validated

In Orange County

In the library district

In a blacklisted location

A reciprocal borrower

A potential duplicate

Registered successfully

These values are added via a Gravity Forms hook in the code. Please do not attempt to change these values by editing the form directly, as your changes will be overwritten.

Preferred Language*

English

Español

Step 1 of 3: Name and Birth Date

Step 1 of 4: Name and Birth Date

Who is this card for?*

Adult(Age 18+)

Child(Age 17 or under)

* indicates a required field.

First Name*

Middle Name

Last Name*

Child’s First Name*

Child’s Middle Name

Child’s Last Name*

Birth Date*

Child’s Birth Date*

Step 2 of 4: Caregiver Information

* indicates a required field.

Primary Caregiver

First Name*

Middle Name

Last Name*

Additional Caregiver

You may provide another adult the ability to access information on the juvenile card in your absence. This adult will not be held financially responsible for the account.

First Name

Middle Name

Last Name

Step 2 of 3: Residence Information

Step 3 of 4: Residence Information

* indicates a required field.

Street Address*

Apartment, Suite, or Unit (if applicable)

City*

County and State*

Orange County, FL

(Not an Orange County resident? See our other card options.)

Zip Code*

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Address Bypass

Step 3 of 3: Contact Information

Step 4 of 4: Contact Information

* indicates a required field.

Email Address*

This is required for sending confirmation of card sign-up, account-related notices (item due dates/overdues/renewals), and library news/updates.

Phone Number

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Email Bypass

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Referral Token

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Online Card Registration: Resident Card Account