Client Information Form

The Department of Parks and Recreation is now using new software to process class and activity registrations. Before you can get all the benefits of this new software, you must submit a Client Information Form (CIF) for each member of your household. We use this information to create an account in order that you may use the automated systems. Learn more about the new software, Automated Phone Registration, and Internet Registration.

If you prefer, a PDF version of the Client Information Form is also available. You may type in your entries to complete the form. After printing the form, follow the instructions on the form to mail it or fax it to staff.

After we receive the form, we will send your Client Barcodes and PIN via US mail.

Red items are required.

Primary Household Contact
First Name
Last Name
Birth Date	mm/dd/yy
Gender	Male Female
Mailing Address
City
State / Zip	/
Home Phone	916-555-1212
Email
Special Accommodations
Other Participating Household Members Please list other members of the same household who also wish to participate (i.e., spouse, children, etc.).
Second Household Member
First Name
Last Name
Birth Date	mm/dd/yy
Gender	Male Female
Home Phone	916-555-1212
Email
Third Household Member
First Name
Last Name
Birth Date	mm/dd/yy
Gender	Male Female
Home Phone	916-555-1212
Email
Fourth Household Member
First Name
Last Name
Birth Date	mm/dd/yy
Gender	Male Female
Home Phone	916-555-1212
Email
Fifth Household Member
First Name
Last Name
Birth Date	mm/dd/yy
Gender	Male Female
Home Phone	916-555-1212
Email
Sixth Household Member
First Name
Last Name
Birth Date	mm/dd/yy
Gender	Male Female
Home Phone	916-555-1212
Email
Seventh Household Member
First Name
Last Name
Birth Date	mm/dd/yy
Gender	Male Female
Home Phone	916-555-1212
Email
Eighth Household Member
First Name
Last Name
Birth Date	mm/dd/yy
Gender	Male Female
Home Phone	916-555-1212
Email

General department information: (916) 808-5200
Recreation programs, centers, pools and park permits: (916) 808-6060
Older Adults information: (916) 566-1590
Access Leisure information: (916) 808-3809

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Client Information Form

Primary Household Contact

Other Participating Household Members

Second Household Member

Third Household Member

Fourth Household Member

Fifth Household Member

Sixth Household Member

Seventh Household Member

Eighth Household Member