San Marcos Parks and Recreation Contracts Program Registration Form
Application for participation and release agreement for Homeschool Activities.

PLEASE FILL OUT ONE FORM PER CHILD.
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Student Information
First AND Last Name (PLEASE FILL OUT ONE FORM PER CHILD) *
Child's Age *
Child's Birthdate *
MM
/
DD
/
YYYY
Street Address *
Mailing Address *
City, State, Zip *
E-Mail Address *
Parent/Guardian Information
Mother and Father's Full Name *
Cell Phone Number *
Work Phone Number *
Address (if different from above)
Birthdate of Mother *
MM
/
DD
/
YYYY
Birthdate of Father *
MM
/
DD
/
YYYY
E-mail address *
Emergency Contact Person and Cell phone number *
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