Youth Programs/Events/Trips

In the space provided, enter participant's first and last name.

In the space provided, enter parent/guardian's first and last name.


In the space provided, enter participant's date of birth.

In the space provided, enter participant's age.



In the space provided, enter program number. Example: 162001 or 162001A or 162001A1

In the space provided, enter program name. Example: Beginning Tumbling

In the space provided, enter amount you are submitting for program payment.

In the space provided, enter program number. Example: 162001 or 162001A or 162001A1

In the space provided, enter program name. Example: Learn Magic

In the space provided, enter amount you are submitting for program payment.

In the space provided, enter program number. Example: 162001 or 162001A or 162001A1

In the space provided, enter program name. Example: Camp Out at the Cabin

In the space provided, enter amount you are submitting for program payment.

If applicable, not offered with every program.

In the space provided, enter any special instructions the park district will need to know. Example: Oxygen, Wheelchair, or Special Assistants.

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