Norris Recreation Center
Household Information Form
IMPORTANT
To receive a customer Login and Password for the Norris Recreation Center's online registration system, complete and return this form promptly.
Proof of residency is required to guarantee that only residents living with the Community Unit School District 303's boundaries receive discounted rates.
PROOF OF RESIDENCY
To prove residency and recieve the discount, you must attach a copy of a current utility bill, driver's license or state ID.
Delete all uploads
Choose files or drag here
A staff member will enter your data into the registration system to create your username and password. You will receive an eMail with your access as quickly as possible. This process can take up to 48 hours to complete.
All information below with an asterik(*) is required to process your form.
Are you a resident of Community Unit School District 303?
Yes
No
Head of Household
Primary Phone
Secondary Phone
Address
Email address
Please provide your eMail address for park district updates and information. The park district will keep all eMail addresses confidential.
Birthdate
MM
/
DD
/
YYYY
Household Members (also living at the address above)
Name
Birth Date
MM
/
DD
/
YYYY
Name
Birth Date
MM
/
DD
/
YYYY
Name
Birth Date
MM
/
DD
/
YYYY
Name
Birth Date
MM
/
DD
/
YYYY
Name
Birth Date
MM
/
DD
/
YYYY
Name
Birth Date
MM
/
DD
/
YYYY
* = Required Field
Verification
SUBMIT FORM
Please wait...
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20