Issue link: http://read.uberflip.com/i/8277
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 _________________________________________________________________ 66 Idaho Falls Parks & Recreation Guide