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2. This online library card application form is for CHILD residents of Santa Rosa County and Pensacola Beach, and should be completed by a parent/guardian.
   You will be notified when your library card application has been processed and your card is ready to be picked up at the library. A photo ID and proof of residency must be presented when picking up your card. If your photo ID is Real ID compliant & contains your current address, presenting it will be sufficient.
6. Please complete the following information for your child.
8. Last Name*
9. First Name*
10. Middle Name*
11. Date of Birth*
    Date of Birth
15. Please complete the following information for the parent/guardian.
17. Last Name*
18. First Name*
19. Middle Name*
21. Address*
22. City*
23. Zip Code*
25. Notification Preference*

    1. Text
    2. Email
26. Phone Number*
27. Cell Phone Carrier?
    Required if you wish to receive texts.
28. Email Address*
30. Would you like to learn about the Friends of the Library?*

    1. Yes
    2. No
31. Please select your preferred library*

    1. Genealogy
    2. Gulf Breeze
    3. Jay
    4. Milton
    5. Navarre
    6. Pace
33. Please read before submitting: I verify that the information above is correct. I agree that by submitting this application, I assume responsibility for all use of this card, including Internet usage. I accept responsibility for all materials borrowed on this card. I agree to observe all library rules, to pay all charges, and to notify the library of any changes to my contact information. I understand that I am responsible for my child and his/her use of all library materials including the Internet.
34. By checking "agree" I am virtually signing my application.*

    1. Agree
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field