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Registration Form - Bellaire Parks & Recreation

BEFORE YOU REGISTER, please read our Registration and Refund Policies.

If your questions are not answered in either of the Policies, please call the Education Office
at 713-524-7998.

To register online, please complete the form below and process payment on the next page using your VISA, MasterCard, Discover, American Express or PayPal account. Registration will NOT be accepted, and no place will be held, without full payment. If you prefer not to register online, please download our registration form here. You will receive an automated response confirming that your payment was received.

All required fields are indicated with an asterisk *.

*Student Name:
*Date of Birth (M/D/Y):
*School Name:
*Grade Level:
*Parent/Guardian Name:
*Address:

Street

City

State

Zip Code
*Phone During Class Hours:
*Home Phone:
*Email:
*Confirm Email:
How did you hear about us? (optional):
2nd Student Name:
Date of Birth (M/D/Y):
School Name:
Grade Level:
3rd Student Name:
Date of Birth (M/D/Y):
School Name:
Grade Level:
4th Student Name:
Date of Birth (M/D/Y):
School Name:
Grade Level:
Include a note to the Education Office (optional):
*I have read and understand the Registration and Refund Policies. I further understand that submission of this form is not a guarantee of registration.
Form Complete
Your payment will be processed on the next page.
Registration will NOT be accepted, and no place will be held, without full payment.

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