Library Visit Request

Library Visit Request

Fields with a red asterisk are required.
Thank you for your interest in visiting the Clearwater Public Library System. Scheduling a visit as far in advance as possible allows us time to arrange for adequate staff and to prepare for your specific needs.

To make your reservation, please submit this form and we will put you in contact with the youth librarian at your preferred location.
Date submitted *

Month Day Year
Date
Teacher/Group Leader *
First and Last Name
School or Organization *
Leader's email address *
example@example.com
Leader's phone number *

Area Code Phone Number
Organization's address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Details of the Visit
Which library would you like to visit? *
Date/time choice #1 *

Month Day Year
Date Hour Minutes AM/PM Option
Date/time choice #2 *

Month Day Year
Date Hour Minutes AM/PM Option
Date/time choice #3 *

Month Day Year
Date Hour Minutes AM/PM Option
Length of visit *
Number of children *
e.g.: 23
Number of chaperones *
e.g.: 5
Grade or ages of children *
Type of program requested (check all that apply) *

Story time Book talks Tour (children's area only) Tour (whole library) Learn library skills or work on research topic Introduction to using online resources Free to time browse books Discovery Zone (Main only)
Please share any additional information that might be helpful in planning this visit (e.g.: reading levels, special needs, etc.)
Would you like a copy of this form emailed to someone else?
example@example.com
Under Florida law, certain information provided to municipalities are public records and may be subject to a public records request. If you do not want your information released in response to a public records request, do not send electronic mail to this entity. Instead, please contact the library by phone, (727) 562-4970.
Should be Empty:

Library Visit Request

Details of the Visit