• Presenter Information Form

    Presenter Information Form

    Fields with a red asterisk are required. The Clearwater Public Library System is accepting Presenter Information Forms for in-person programs only. The library can only utilize presenters that reside in the State of Florida.
  • Date submitted*
     - -
  • Is this a new application or an update?*
  • Primary presenter's date of birth*
     - -
  • Format: 000-000-0000.
  • Will there be additional or alternate presenters?*
  • Additional presenter #1's date of birth
     - -
  • Additional presenter #2's date of birth
     - -
  • Additional presenter #3's date of birth
     - -
  • Primary audience (please choose all that apply)*
  • Have you ever been convicted of any offense against the law or are now under any current charge of any offense against the law?*
  • Can the presenter provide a Certificate of Insurance? This is required if the presenter will be bringing animals, expensive equipment, and/or dangerous materials.*
  • Are you a current City of Clearwater employee or contractor?*
  • Do you have any relatives working for the city of Clearwater?*

  • Program Fees

  • Does the presenter charge a fee for the program(s)?*
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  • Check delivery method
  • Format: 000-000-0000.

  • Under Florida law, certain information provided to municipalities are public records and may be subject to a public records request.

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  • Should be Empty: