Home Library Service Registration | London Borough of Barking and Dagenham

Home Library Service Registration

Name

Email

Contact number

Address

Address 2

City/Town

Post code

Date of birth

Library card number (if you have one)

Are you completing the form for yourself, someone else or a child under 16?

Relationship with the applicant

Parent

Legal guardian

Carer

If you're completing the form for someone else please provide your contact details.

Name

Contact number

Do you have the applicant's permission?

Yes

No

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