Idaho Falls

Parks/Rec Guide (Spr/Sum 11)

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REGISTRATION FORMS Parent’s Name ______________________________________________________________ Address _____________________________ City ______________ State ____Zip _________ Participant’s Name ______________________________________ Date of Birth ____________ Phone (h) _________________(w) __________________ Emergency# _________________ Activity# Class Title 1st Choice 2nd Choice Indicate Payment Type: Session/Day City Rate# (include tax) o Mastercard Total _________ ___________ ____________ _________ $ _______ _________ ___________ ____________ _________ $ _______ o Check o Money Order o Visa Card# _____________________________________________________ Exp ___________ Signature _________________________________________________________________ Parent’s Name ______________________________________________________________ Address _____________________________ City ______________ State ____Zip _________ Participant’s Name ______________________________________ Date of Birth ____________ Phone (h) _________________(w) __________________ Emergency# _________________ Activity# Class Title 1st Choice 2nd Choice Indicate Payment Type: Session/Day City Rate# (include tax) o Mastercard Total _________ ___________ ____________ _________ $ _______ _________ ___________ ____________ _________ $ _______ o Check o Money Order o Visa Card# _____________________________________________________ Exp ___________ Signature _________________________________________________________________ Parent’s Name ______________________________________________________________ Address _____________________________ City ______________ State ____Zip _________ Participant’s Name ______________________________________ Date of Birth ____________ Phone (h) _________________(w) __________________ Emergency# _________________ Activity# Class Title 1st Choice 2nd Choice Indicate Payment Type: Session/Day City Rate# (include tax) o Mastercard Total _________ ___________ ____________ _________ $ _______ _________ ___________ ____________ _________ $ _______ o Check o Money Order o Visa Card# _____________________________________________________ Exp ___________ Signature _________________________________________________________________ 38 Idaho Falls Parks & Recreation Guide www.ifrec.org

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