Last Name:
First Name:
Middle Name:
Mailing Address:
City:
State:
Zip Code:
County:

Alternate Address:
(required if giving a PO Box as a mailing address)
City:   State:
Zip Code: Country:
E-Mail Address:
Would you like to receive the library calendar by e-mail?  Yes
Birth date (mm/dd/yyyy):
(Optional)
Phone Number:

How did you hear about the library?

I would like to have my new library card mailed to me at the mailing address above.
I would like to pick up my new library card at the following library: Library Ceres Denair Empire Hughson Keyes Modesto Newman Oakdale Patterson Riverbank Salida Turlock Waterford

Please choose the size of your new library card.   Library Card Size Key Chain Credit Card Size

To activate your new library card you must show photoidentification such as: California ID, California driver's license, or student ID along with proof of your mailing address.  The following forms of address verification may be used: current utility bill (postmarked within 30 days), lease, rental agreement or rent receipt showing address (dated within 30 days), current post office box receipt, or mail that has been sent to you at your current address ( postmarked within 30 days).