Please complete the following information about your household using all uppercase letters. DO NOT create another household to update information you must call the Rec Office at 708.246.9070.

* REQUIRED DATA
User Name (up to 50 chars)
Password (up to 50 chars)
Retype to Confirm
Head of Household Information
Name of Primary Guardian (First)
Name of Primary Guardian (Last)
Gender
Date of Birth (mm/dd/yyyy)
Secondary Guardian Information
Name of Secondary Guardian (First)
Name of Secondary Guardian (Last)
Gender
Date of Birth (mm/dd/yyyy)
Email and Phone Information
Primary Email Address
Retype to Confirm Email Address
Alternate Email Address
Home Phone w/ area code (xxx)xxx-xxxx
Emergency Phone w/ area code
Cell Phone w/ area code (xxx)xxx-xxxx
Work Phone w/ area code (xxx)xxx-xxxx
Work Extension
Address Information
Mailing Address
Street Address if different
City
State/Province
Postal/Zip Code

* REQUIRED DATA

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