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Online Registration

Winter/Spring 2016 registrations will be processed starting December 9, 2016 for residents and starting December 16, 2016 for non-residents. An e-mail receipt of your registration will be sent within 72 hours.

Online registrations MUST be made at least one week before program start date.

Please click on the program brochure at the right to view our programs. Jot down the program number and section you are interested in before filling out the below form to ensure accurate information and date availability. Please make sure the information you type into the form is correct. If your program number or section is incorrect, you will not be registered.

Please call (708) 474-8552 for questions.

 

Family Name
Address
City
State
Zip
Home Phone
Cell Phone
Work Phone
Email
Emergency Contact/Relationship
Emergency Contact Phone
Please indicate if you have any special needs or require any accommodation?
Are you a Lansing resident? (Proof of residency may be required.)



 
PAYMENT INFORMATION
 


 
Name On Card
Credit Card Number
Expiration Date
 
PROGRAM INFORMATION
(Please refer to the program brochure at the right for details about each program. If the desired program isn't listed, please register in person.)
 
Participant Name
(Include last name if different)
Gender Date of
Birth
Program
Title
Program
Number
Section
Number
Fee
             
           
      Youth Scholarship Donation  
      TOTAL AMOUNT OWED
(Your credit card will be charged when registrations are processed.)
 
 
Shirt Size: Name/Size
(Some, but not all of our programs provide a t-shirt. Please give us a t-shirt size for every participant.)
 
Questions/Comments
 
Photo Release and Waiver:
By filling out this form, I authorize the Lan-Oak Park District to use any and all photographs, audio, and/or video that contain my (or that of the participant, if filled out by a parent or guardian) voice, image, likeness, and/or image for promotional and/or publicity purposes. I hereby waive any right to inspect or approve the finished photograph, audio, video, advertising copy, or printed matter that may be used in conjunction therewith or the eventual use to which it may be applied. The Lan-Oak Park District will only use the aforementioned photograph, audio, and/or video, for promotional and/or publicity purposes (i.e., brochures, flyers, website design, cable television program, pamphlets, and/or any other form of media presentations used by the Lan-Oak Park District to promote and/or publicize its recreational programs and event offerings).
 
 
I have read and understand the Waiver, Release of All Claims, and Hold Harmless Agreement for Lan-Oak Park District. Click here for the full Waiver, Release of All Claims, and Hold Harmless Agreement.
 
 
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 Lan-Oak Park District Winter 2016 Program Brochure

Lan-Oak Park District Winter 2016 Program Brochure - Click here to see our programs

 

 

 

      

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