In accordance with the requirements of Title II of the Americans with Disabilities Act (“ADA”) of 1990, the Fair Employment & Housing Act (“FEHA”), the Rehabilitation Act of 1973 (as amended), Government Code section 11135 and other applicable codes, the City of Modesto (“City”) will not discriminate against individuals on the basis of disability in the City’s services, programs, or activities. For more information, please visit https://www.modestogov.com/865/Americans-with-Disabilities-Act-ADA.
First name of applicant, or the guardian or parent of applicant if the applicant is a youth.
Last name of applicant, or the guardian or parent of applicant if the applicant is a youth.
Email address of applicant, or their guardian or parent.
Youth must be under the age of 18.
Youth must be under the age of 18
Print this completed form and bring or mail with the following documentation to the Parks, Recreation and Neighborhoods Department at 1010 Tenth Street, 4th Floor, Modesto, CA 95354.
Bring one of the above
Bring one of the above.
Bring one of the above. Note that all children applying must be listed as dependents on documents.
* indicates a required field