Youth Resident Library Card Application

Parents and guardians, please complete the youth library card registration form below on behalf of a cardholder 15 years and younger. Youth must meet one of the following criteria to apply.

Youth lives in Leon County and parent/guardian can show proof of residency.
Youth is a student enrolled in Leon County.

Required fields are marked with an asterisk (asterisk).

Youth Cardholder Information

First name : *

Middle name :

Last name : *

Date of birth : *

Mailing Address

Please provide the parent/guardian's mailing address and contact information.

Parent/guardian street address : *

Apt. number :

City : *

State : *

Zip code : *

Contact Information

Parent/guardian first and last name : *

Parent/guardian Florida driver's license number or Florida ID number (No spaces or dashes) : *

You may give another adult the ability to assist the youth in checking out materials in your absence. This adult will not be held financially responsible.

Secondary parent/guardian first and last name :

Parent/guardian phone number : *

Parent/guardian secondary phone number :

Parent/guardian email address : *

Parent/guardian email address (confirm) : *

Other Information

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

PIN (confirm): *

School ID number (No spaces) :

School :

Home library : *

Receive library news : Yes No

Library notification preference :

Responsibility Statement

I confirm that I am the parent or legal guardian of the youth registering for this library card. *

I agree to take responsibility for any balance on this youth card. 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 the youth's card and borrowing privileges are not transferable unless express written permission is given. Delinquent accounts may be handed over to a collection agency.*

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