Adult Form


 

Parent or Guardian Primary Contact Information
(This form is to be completed by the child's parent or guardian)

(Fields marked with   are required)

Parent or Guardian Contact  First Name:
Middle Initial:
 Last Name:
 Mailing Address: (Maximum 30 characters)
 City:  State:    Zip Code:
 Phone Number: () -
 How would you like to be notified about items you have requested or possible overdue items?
 
Number where you would like messages sent: () -
Note: The Library does not charge for texting, however your carrier may charge you fees for text messages.
By selecting Notify me by Text Message on this form, you agree to accept responsibility for any SMS/Text charges you may incur.


 
Email Address: 

 

 PIN (4-10 numbers only):


Branch:

Please indicate the branch you prefer to use as your home library:
View locations and hours




Childs Information Child's Information

 First Name:   Middle Initial:    Last Name:
 Age and Gender:
   
   
 
 
Click Here to add Child's address if different from above.


Enter Child's Address (If Different From Above)

Address:  (Maximum 30 characters)
City:  State:  Zip Code: 
Phone Number: ( ) -


I allow the child to check out:
Only DVDs and streaming videos from the Children's Collection
All DVDs and streaming videos






BY CLICKING THE SUBMIT BUTTON BELOW I (THE PARENT OR GUARDIAN) AGREE TO ACCEPT RESPONSIBILITY FOR OVERDUE FINES, LOST OR DAMAGED MATERIALS, THE SELECTION OF LIBRARY MATERIALS, AND ACCESS TO THE INTERNET AND OTHER RESOURCES MADE BY THE CHILD LISTED ON THIS APPLICATION FORM.

 I WILL ALSO ENCOURAGE THE CHILD TO USE LIBRARY MATERIALS RESPONSIBLY, TO TAKE GOOD CARE OF ALL THE THINGS THAT ARE BORROWED, AND TO BRING THEM BACK ON TIME.



Note: Under Florida law email addresses stored in your library account cannot be shared, distributed or sold to third parties, so your information is safe with us!