San Marcos Parks and Recreation Contracts Program Registration Form
Application for participation and release agreement for Homeschool Activities
Student Information
Name - list all in your family who will be participating *
Your answer
Age *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Street Address *
Your answer
Mailing Address *
Your answer
City, State, Zip *
Your answer
E-Mail Address *
Your answer
Parent/Guardian Information
Mother and Father's Full Name *
Your answer
Cell Phone Number *
Your answer
Work Phone Number *
Your answer
Address (if different from above)
Your answer
Birthdate of Mother *
MM
/
DD
/
YYYY
Birthdate of Father *
MM
/
DD
/
YYYY
E-mail address *
Your answer
Emergency Contact Person and Cell phone number *
Your answer
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