A Member of the Pinellas Public Library Cooperative

Library Card Application

If this is the first time you are applying for a Pinellas Public Library Cooperative card , please fill out the information below, and a card will be mailed to you within 5-7 days. You may then visit any of our branch locations to initiate your library privileges. Please bring the envelope in which your card was mailed, or some form of identification to prove residency. We will also need to see picture identification.
Applicants under the age of 14 must be accompanied by a parent or legal guardian to sign their application.

Your St. Petersburg Public Library card may be used at any Pinellas Public Library Cooperative Member Library , and many other libraries around the State.

Please fill out the following application completely. A red star * denotes a required field.
(Use the TAB key to move from one field to another.)

Password (4-8 letters or numbers)*:

Birthdate (mm/dd/yyyy)*:

First Name:*
M.I.
Last Name*:

Local Mailing Address*: Apt or Lot #:

City*:         State*: Zip Code*:

NOTE: Cities followed by an asterisk (*) in the drop-down menu above are not members of the Pinellas Public Library Cooperative . If you are a resident of one of these cities, you will be charged a $100 fee to obtain a library card. Some cities will refund all or part of this fee.

Home Phone (including area code) Other Phone (including area code):

County*: Pinellas Other - Name of County:  Library Card #:
NOTE: If you do not live in Pinellas County, you must provide us with the name of your county and the library card number from your home library. Thank you.
E-mail Address:
Please complete this field to receive notices via email.
Other Address (Seasonal, Street address if different than above)

Street Address:

City: State: Zip Code:

 

For Children 13 and under

Parent or Guardian's Name:

Address (if different than above)
Street Address:

City: State: Zip Code:

I give my children permission to check out videos/DVD's Yes No

Failure to return materials is a violation of Pinellas County Ordinance 96-52.

* I agree to abide by the rules of the library, to pay fines and damages charged to me or my children and to report immediately a change of address or loss or theft of my library card.
Box must be checked to submit form and indicates agreement to above statement.