Santa Clara City Library

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id="content">     <div class="pageContentInner">  <h1 class="pageHeader">Library Card Online Registration</h1>  <script type="text/javascript"> // Only script specific to this form goes here. General-purpose routines are in a separate file. function validateOnSubmit() { var messageDiv = document.getElementById("selfRegMessage"); var elem; var errs = 0; // execute all element validations in reverse order, so focus gets // set to the first one in error. if (!validateCheckbox (document.forms.selfRegForm.checkbox, 'msg_agree', true)) { errs += 1; } // if (!validatePcode (document.forms.selfRegForm.F044pcode1, 'msg_F044', true)) { errs += 1; } if (!validateEmail (document.forms.selfRegForm.zemailaddr, 'msg_email', true)) { errs += 1; } if (!validateBday (document.forms.selfRegForm.F051birthdate, 'msg_bday', true)) { errs += 1; } if (!validateTelnr (document.forms.selfRegForm.tphone1, 'msg_tphone1', true)) { errs += 1; } // if (!validatePresent(document.forms.selfRegForm.full_aaddress, 'msg_address')) { errs += 1; } // if (!validatePresent(document.forms.selfRegForm.full_aaddress2, 'msg_address2')) { errs += 1; } if (!validatePresent(document.forms.selfRegForm.nlast, 'msg_lname')) { errs += 1; } if (!validatePresent(document.forms.selfRegForm.nfirst, 'msg_fname')) { errs += 1; } if (errs > 1) { alert('There are fields that need correction before your registration is successful.'); // var message = document.createTextNode('There are fields that need correction before your registration is successful.'); // messageDiv.innerHTML =""; // messageDiv.appendChild(message); } if (errs == 1) { alert('There is a field that needs correction before your registration is successful.'); // var message = document.createTextNode('There is a field that needs correction before your registration is successful.'); // messageDiv.innerHTML =""; // messageDiv.appendChild(message); } if (errs == 0) { document.selfRegForm.submit(); return false; } } </script> <noscript> You must enable JavaScript in order to use our Self Registration service. </noscript> <form method="post" name="selfRegForm" id="selfRegForm" onsubmit="return validateOnSubmit();"> <div class="errormessage" id="selfRegMessage"> </div> <p>To register, complete and submit the following form. To receive your library card, please visit any of the Santa Clara Library locations during <a href="https://www.sclibrary.org/open" target="_blank">Library Hours</a>. You will be asked to provide a government issued Photo ID. <i>A parent or court-appointed guardian must also be present</i> and provide his or her Photo ID for applicants 17 years and younger. The applicant must be present at the time the card is given. </p> <p> * = required fields </p> <div class="formEntryArea"> <span class="formLabel"><label for="nfirst">First name: <span class="formRequired">*</span></label></span> <input name="nfirst" id="nfirst" type="text" alt="First Name" value="" size="20" maxlength="40" onfocus="this.select();" onchange="this.value=this.value.toUpperCase(); "> <div id="msg_fname"> </div> </div> <div class="formEntryArea"> <span class="formLabel"><label for="nmiddle">Middle name: </label></span> <input name="nmiddle" id="nmiddle" type="text" alt="M.I. (Middle Initial)" value="" size="10" maxlength="40" onfocus="this.select();" onchange="this.value=this.value.toUpperCase();"> </div> <div class="formEntryArea"> <span class="formLabel"> <label for="nlast">Last name: <span class="formRequired">*</span></label></span> <input name="nlast" id="nlast" type="text" alt="Last Name" value="" size="40" maxlength="60" onfocus="this.select();" onchange="this.value=this.value.toUpperCase(); "> <div id="msg_lname"> </div> </div> <div class="formEntryArea"> <span class="formLabel"><label for="stre_aaddress">Street Address: <span class="formRequired">*</span></label></span> <input name="full_aaddress" id="full_aaddress" type="text" alt="Street Address" value="" size="40" maxlength="256" onfocus="this.select();" onchange="this.value=this.value.toUpperCase();validatePresent(this, 'msg_address', true);"> <div id="msg_address"> </div> </div> <div class="formEntryArea"> <span class="formLabel"><label for="city_aaddress">City, State, ZIP: <span class="formRequired">*</span></label></span> <input name="full_aaddress" id="full_aaddress2" type="text" alt="City, State ZIP Code" value="" size="40" maxlength="256" onfocus ="this.select();" onchange ="this.value=this.value.toUpperCase();validatePresent(this, 'msg_address2', true); " > <div id="msg_address2"> </div> </div> <div class="formEntryArea"> <span class="formLabel"><label for="phone1">Phone: <span class="formRequired">*</span></label></span> <input name="tphone1" id="tphone1" type="text" alt="Phone number" value="" size="16" maxlength="12" onfocus="this.select();" > (use format "xxx-xxx-xxxx") <div id="msg_tphone1"> </div> </div> <link rel="stylesheet" href="/screens/jquery-ui.css"> <script src="/screens/jquery-1.12.4.js"></script> <script src="/screens/jquery-ui.js"></script> <script> $( function() { $( "#F051birthdate" ).datepicker({ dateFormat: 'mm-dd-yy', yearRange: "-100:+0", changeMonth: true, changeYear: true, showMonthAfterYear: true, maxDate: '+0d', minDate: '-110y', autoclose: true, }); }); </script> <div class="formEntryArea"> <span class="formLabel"><label for="F051birthdate">Birthday: </label><span class="formRequired">*</span></span> <input type="text" id="F051birthdate" data-format="MM-dd-yyyy" name="F051birthdate" alt="Birthdate" onfocus="this.select();" class="dpDate" size="12" maxlength="10"> <div id="msg_bday"> </div> </div> <div class="formEntryArea"> <span class="formLabel"><label for="zemailaddr">Email: </label><span class="formRequired">*</span></span> <input name="zemailaddr" id="zemailaddr" type="text" alt="Email address" value="" size="40" maxlength="128" onfocus="this.select();"></td> <div id="msg_email"> </div> </div> <div class="formEntryArea"> <input type="checkbox" _base_target="_self" value="agree" id="checkbox" name="checkbox"/>  <span class="formRequired">*</span>I agree to abide by the <a target="_blank" href="https://www.sclibrary.org/services/library-cards#borrowersagreement">Borrower's Agreement</a> and all other Library rules and guidelines. <div id="msg_agree"> </div> </div> <div class="formEntryArea"> <input type="checkbox" name="F044pcode1" value="y" checked>  I am interested in receiving information about Library events and programs by email. <div id="msg_agree"> </div> </div> <div class="formEntryArea"> <input type="checkbox" name="F045pcode2" value="y">  I am interested in receiving information about the Santa Clara City Library Foundation & Friends by email. <div id="msg_agree"> </div> </div> <br/> ****PARENTS, IF APPLYING FOR A CHILD: As parent (or individual appointed by the court to be legal guardian) of the child listed on this application, I understand that this card entitles my child access to all library materials and electronic resources. I agree to abide by and to teach my child to abide by the <a href="https://www.sclibrary.org/services/library-cards#borrowersagreement" target="_blank">Borrower's Agreement</a> and all other library rules and guidelines. I am aware that confidentially laws limit the information staff can share with me about my child's library record. <br/><br/> <br /> <a href="#" onclick="validateOnSubmit(); return false;" class="btn btn-info btn-lg submit_button">Submit</a> <br /> <br /> <a href="/" onClick="return replaceOrRedraw('/')">Start Over</a> </form>  </div>  <br />    </div>  <div id="bccms_footer" class="footer-wrapper"> <div id="footer_container"> <h2 class="a11y-visually-hidden">Footer Menu</h2> <div class="footer_container_12"> <div class="footer_grid"> <div class="footer-menus clearfix"> <div class="social-links-wrapper"> <ul> <li> <a href="https://www.facebook.com/santaclaracitylibrary" class="facebook_link"> <img src="/screens/facebook-icon.png" alt="Santa Clara City Library on Facebook"></a> </li> <li> <a href="https://twitter.com/santaclaralib" class="twitter_link"> <img src="/screens/twitter-icon.png" alt="Santa Clara City Library on Twitter"></a> </li> <li> <a 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id="menu-city-of-santa-clara" class="menu"><li id="menu-item-167994" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-167994"><a href="http://santaclaraca.gov">Home</a></li> <li id="menu-item-168146" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-168146"><a href="http://santaclaraca.gov/government/departments">City Departments</a></li> <li id="menu-item-168162" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-168162"><a href="http://santaclaraca.gov/government/connect-with-us">Contact the City</a></li> </ul></div></div> <div class="footer-menu-column"> <div class="footer-contact-info large-footer"> <h3 class="bccms-footer-heading"><a href="http://santaclaraca.gov/government/departments/library/about-the-library/central-park-library/contact-the-library" class="contact_us_url">Contact Us</a></h3> <ul> <li>Santa Clara City Library</li> <li>2635 Homestead Road<br> Santa Clara, CA 95051<br> </li> <li> (408) 615-2970 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