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Early Start Library Check-Out Form
The California Early Start Library is open to any California resident interested in resources and information on prevention and early intervention. Patrons are allowed to borrow up to 10 items per order for a two-week period. To order California Early Start Library materials, please complete this form and click submit.
* =Information is Required

First Name*
Last Name*
Agency*
E-mail Address*
Patron#(if available)
Phone Number*
Date Requested
Date Needed*
Address
City
State
Zip

Item 1
Title*
Author*
Topic Code

Item 2
Title
Author
Topic Code

Item 3
Title
Author
Topic Code

Item 4
Title
Author
Topic Code

Item 5
Title
Author
Topic Code

Please Note: To extend the due date for materials, please contact Early Start Resources. Items must be returned by insured first class mail or UPS and the borrower is responsible for return postage fees. If materials are lost or damaged, the borrower is responsible for replacement or repair costs.

California Early Start Library • 1107 9th Street, 4th Floor • Sacramento, CA 95814
916.492.4020 • 800.869.4337 (California only) • FAX: 916.492.4002
The California Early Start Library is sponsored by the Department of Developmental Services under a contract with the WestEd Center for Prevention and Early Intervention.