Lincoln Park District Registration Form
Print this page, fill it in and mail it with a self-addressed, stamped envelope to:
Lincoln Park District
1400 Primm Rd.
Lincoln, IL 62656
Address:_______________________________
City:__________________________________
Home phone:____________________________
Business/
emergency phone:________________________
Zip Code:______________________________
T-shirt size (if applicable) circle one - Youth / Adult S M L XL
Total Payment: ______________________
***Please include session numbers on check.***
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