Online Account Registration

In order to register for Buffalo Grove Park District programs on-line, you must first create an on-line account. Once you complete the form below we will issue you a Family Account Number and individual Participant Identification Codes for each member of your household. You will need both of these numbers to complete the registration process on-line. If you are new to the Buffalo Grove Park District you may be asked to provide proof of residency.

Note: Household's Main Contact must be a parent or adult of household and listed as Family Member #1 below.

Family Members (must live at the address listed below)

1. Last Name First Name Date of Birth Current Grade Level

2. Last Name First Name Date of Birth Current Grade Level

3. Last Name First Name Date of Birth Current Grade Level

4. Last Name First Name Date of Birth Current Grade Level

5. Last Name First Name Date of Birth Current Grade Level

6. Last Name First Name Date of Birth Current Grade Level

7. Last Name First Name Date of Birth Current Grade Level

8. Last Name First Name Date of Birth Current Grade Level

Address and Contact Information:

Street Town Zip Code

Phone Number Alternate Phone Number

Head of Household's e-mail Address