City Park Community Association Fall 2021 Program Registration Form
Fall 2021
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Email *
Participant Name *
First name, Last name
Personal Information
Please complete one form per participant
Age *
This is used for statistical purposes
0-4
5-14
15-19
20-39
40-64
65+
Age
Address *
Street number, Street, Postal Code
Phone Number *
Please check off any of the following that apply:
Program Information
Refund Policy: If the program you signed up for has to be cancelled or is over capacity we will call you and mail you your refund.
Program Registration *
Please select all classes you want to be enrolled in. *Note: Classes marked with an asterisk (*) must have a minimum of 10 participants. Recruit your family and friends!
Required
Are there any programs you would like to see the CPCA offer in the future?
Total amount owed *
Payment Method *
The City Park Community Association tries to offer affordable programs. However, if you can't afford the cost of a program, please let the volunteer know as you register. We can cover part or all of the costs through the cost-as-a-barrier program. All requests are kept confidential.
Required
Notification of cancelled classes *
We will be asking our coordinators and instructors to post all cancellation information to the CPCA Facebook Page.
Required
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