(c) The board shall prescribe a registration form for use by licensees and purchasers. The board may approve for use a registration form adopted by a local governing body. A registration form must include
- (1) the name of the seller;
- (2) the name of the purchaser;
- (3) a description of the proof of age provided by the buyer, including the identification number, if any;
- (4) the unique identifier on the temporary tag attached to the keg or container under (b) of this section.