Email Address

First Name First name of minor

Preferred First Name If different from first name

Middle Name

Last Name: Last name of minor

Street Address Include apartment/suite number of legal guardian identification

City

State

ZIP Code: 5 digit code only

Country

OPTIONAL

Mailing Address If different from legal identification

Mailing Address City

Mailing Address State

Mailing Address Zip Code

Mailing Address Country

Telephone Number

Birthdate Birthdate of minor

Home Library

FOR PARENT/GUARDIAN OF MINOR APPLICANT (Under age 18)

PLEASE READ BEFORE SIGNING:

I verify that the above information is correct. I understand that the library collection contains a broad range of materials representing many different topics and viewpoints. I am aware that by signing this application I assume responsibility for all use of this card, including Internet usage and adherence to Internet use policies. For youth under the age of 16, a parent/guardian will have account access.

I agree to pay replacement charges for any materials not returned, lost, damaged or stolen on this account. I agree to report immediately the loss of this card; otherwise, the library will assume its use to be authorized by me. The fees for non-resident library cards are non-refundable.

I understand that Sarasota County Libraries and Historical Resources have an open access policy. We believe every parent/guardian has the right and responsibility to select the materials and Internet resources used by their own child/children.

Staff are happy to assist parents in finding the best materials for each child but are not responsible for monitoring items your children borrow from the library.

PLEASE sign and check to acknowledge you have read and agree to these policies:

Agreement

I agree

Parent/Guardian Digital Signature

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