Please use this form to register for Parks and Recreation Department activities, making sure to use the link at the end to submit payment. Note: fields marked with * are required before the form will submit. Email Address Email address of parent or legal guardian Child's Name Last * First * Middle Initial Activity Select activity for child's age range - Fees are listed with selection Choose Activity * Boys Basketball. Age 8-14. $50.00 for 1 child, $40.00 for each additional child Girls Basketball. Age 9-14. $50.00 for 1 child, $40.00 for each additional child Youth Football. Age 7-12. $100.00 per child Flag Football. Age 7-12. $50.00 for 1 child, $40.00 for each additional child Boys Baseball. Age 3-18. $50.00 for 1 child, $40.00 for each additional child Girls Softball. Age 7-16. $50.00 for 1 child, $40.00 for each additional child Soccer. Age 3-4. $75.00 for 1 child, $65.00 for each additional child Soccer. Age 5-12. $75.00 per child. $65.00 for each additional child. 2 Seasons Cheerleading. Age 5-12. $75.00 per child Address Street Address * City * State * AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Child Info Age * Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025 Jersey or "Top" of Uniform * Choose SizeYouth Extra SmallYouth SmallYouth MediumYouth LargeYouth Extra LargeAdult Extra SmallAdult SmallAdult MediumAdult LargeAdult Extra LargeAdult XX Large Shorts or "Bottom" of Uniform * Choose SizeYouth Extra SmallYouth SmallYouth MediumYouth LargeYouth Extra LargeAdult Extra SmallAdult SmallAdult MediumAdult LargeAdult Extra LargeAdult XX Large Gender * ChooseMaleFemale School * School that child attends Grade * During summertime, enter grade just completed Medical / Emergency Doctor * Enter your Primary Care Physician (PCP) Doctor's Phone Number * Emergency Contact * Enter person to contact in case of an emergency Relationship to Child * Example: Father, Mother, Uncle, Friend, Neighbor, etc. Phone Number * Enter phone number for emergency contact Father Father's Name Enter Full Name: First, M.I. and Last Name Select all areas that you will help Father Will Help Coach Assistant Coach Team Dad Referee Booster Club Daytime Phone Evening or Night-time Phone Mother Mother's Name Enter Full Name: First, M.I. and Last Name Select all areas that you will help Mother Will Help Coach Assistant Coach Team Dad Referee Booster Club Daytime Phone Evening or Night-time Phone Legal Guardian Legal Guardian's Name Select all areas that you will help Legal Guardian Will Help Coach Assistant Coach Team Dad Referee Booster Club Daytime Phone Evening or Night-time Phone Once you submit this form, visit our online payment tool to pay your activity fee in order to complete your registration. Leave this field blank
