Request for Account Login
In order for you to be assigned a username and password, the following fields must be completed as accurately as possible. If you are a resident, you must stop in at the Community Center with proof of residency, for details please call 630-690-4880.
Please check the required fields
Family Last Name
*
1st Adult
*
2nd Adult
Street Address
*
City
*
State
*
Illinois
Select Other...
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South Carolina
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Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
*
Email
*
Your email address will allow us to send you information pertaining to park district events, programs,news and specials. We respect your privacy and do not sell or lend your personal information to outside parties. You may opt out at any time.
Phone
*
Cell # 1
Emergency Phone
*
Enter any children's names to be added to this household in the fields below.
In order for a child to be added to the household, they must be unmarried, 21 years of age living at home. Children 22 and over living at home, and any other relative or individual may not be included in this household. They are considered individual residents and must be set up and entered into our system as an individual household.
Full name of add.'l person to be added to this household:
1st addition to household
Birthdate
MM
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DD
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YYYY
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2012
MM-DD-YYYY / 1st addition to household
Gender
Select one:
Female
Male
1st addition to household
Relationship
1st addition to household
Full name of add.'l person to be added to this household:
2nd addition to household
Birthdate
MM
01
02
03
04
05
06
07
08
09
10
11
12
DD
01
02
03
04
05
06
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31
YYYY
1912
1913
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1915
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1921
1922
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2008
2009
2010
2011
2012
2nd addition to household
Gender
Select one:
Male
Female
MM-DD-YYYY / 2nd addition to household
Relationship
2nd addition to household
Full name of 3rd add.'l person to be added to this household:
3rd addition to household
Birthdate
MM
01
02
03
04
05
06
07
08
09
10
11
12
DD
01
02
03
04
05
06
07
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09
10
11
12
13
14
15
16
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20
21
22
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27
28
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30
31
YYYY
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
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1971
1972
1973
1974
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1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
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1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
MM-DD-YYYY / 3rd addition to household
Gender
Select one:
Female
Male
3rd addition to household
Relationship
3rd addition to household
Full name of 4th add.'l person to be added to this household
4th addition to household
Birthdate
MM
01
02
03
04
05
06
07
08
09
10
11
12
DD
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
MM-DD-YYYY / 4th addition to household
Gender
Select one:
Female
Male
4th addition to household
Relationship
4th addition to household
School District
*
Security Code:
*
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