Rochelle Park District Account Update
Help us update our records! If you currently utilize the Flagg-Rochelle Community Park District, or plan to in the future, fill out this form to help us update our system and save you time when registering for classes!
Email address *
Main Account Information
This information should apply to ALL members of your account
Address (Street, City, State, Zip) *
Your answer
Preferred Phone Number *
Your answer
Secondary Phone Number
Your answer
Would you like a copy of our Activity Guide sent to you directly (it is currently available on our website at any time) *
I'd like more information about...
Primary Guardian Information
This section's information should apply to the Primary individual on your account (18 yrs+)
Full Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Would you like to add a secondary guardian to your account? *
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