Adult Resident Library Card Application

Please complete the adult library card registration form below if you are 16 years or older and meet one of the following criteria:

You live in Leon County and can show proof of residency.
You own property in Leon County.
You are an employee of Leon County.
You are a student enrolled in a school, college, or university in Leon County.
You are an employee of a school, college, or university in Leon County.

Required fields are marked with an asterisk (asterisk).

Cardholder Information

First name : *

Middle name :

Last name : *

Date of birth : *

Select one of the eligibility criteria * :

Mailing Address

Street address : *

Apt. number :

City : *

State : *

Zip code : *

Permanent Address (if different from mailing address)

Street address (Property owners living outside Leon County, list Leon County property address) :

Apt. number :

City :

State :

Zip code :

Contact Information

Phone number : *

Email address : *

Email address (confirm) : *

Other Information

PIN (Once registered, you will be able to change your PIN.): *

PIN (confirm): *

Florida driver's license number or Florida ID number or current local student ID card number (No spaces or dashes) : *

School ID number (No spaces) :

School :

Home library : *

Receive library news : Yes No

Library notification preference :

Responsibility Statement

I am 16 years or older and hereby apply for the privilege to check out materials from the LeRoy Collins Leon County Public Library System. I agree to comply with all regulations, pay all fines, pay for the loss or damage of materials charged to this card, and give immediate notice of an address change or the loss of this card. A fee will be charged to replace a lost card. I understand that I am responsible for all materials checked out on this card and that my card and borrowing privileges are not transferable unless express written permission is given. Delinquent accounts may be handed over to a collection agency.

I agree to comply with the responsibility statement above. *

After submitting, please go to the circulation desk to receive your library card.