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  • Ca Activity Registration Form - Antioch City

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S. Register with your Credit Card at activenet.active.com/antiochrecreation We no longer accept Faxed or Drop Box Registration Limited to Family Members Only Name of Head of Household (Please Print) Refund Policy- Please Read! Customer requested refunds or transfers will be approved only if initiated by phone or in person NO LATER THAN 5 business days PRIOR to the first day of class. No Refunds for non-attendance, one-day workshops or material/supply fees. No refunds after 1st class meetin.

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How to fill out the CA Activity Registration Form - Antioch City online

Filling out the CA Activity Registration Form for Antioch City online is a straightforward process that ensures the proper registration for activities offered by the Recreation Division. This guide will provide you with step-by-step instructions to navigate each section of the form effectively.

Follow the steps to complete the registration process online.

  1. Click ‘Get Form’ button to obtain the registration form and open it for editing.
  2. Begin by providing the name of the head of the household. Ensure it is written clearly in the space provided.
  3. Indicate whether you are an Antioch resident or a non-resident by selecting the appropriate checkbox.
  4. Fill in the participant's first and last name, along with their date of birth in the designated fields.
  5. Complete the address section with your current residential information, including the city and zip code.
  6. Enter your home phone number, day phone number, and email address in the corresponding fields.
  7. List an emergency contact along with their relationship to the participant and their phone number.
  8. Specify the names and dates of birth of any additional participants if applicable.
  9. Select the activity name or number related to the registration.
  10. If you wish to contribute to the Fee Assistance Program, indicate your donation amount.
  11. Carefully read the refund policy and acknowledgment of risk section, then provide your signature and date at the bottom of the form.
  12. Lastly, ensure all fields are filled out correctly before saving your changes. You can then download, print, or share the completed form as needed.

Complete your registration form online today to secure your spot in exciting activities!

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Antioch is located on the banks of the San Joaquin River in Northern California. Just off of Highway 4, in Contra Costa County.

Jun Clyde Gandia - Recreation Supervisor - City of Antioch | LinkedIn.

To contact us via email, use first initial and last name @antiochca.gov. General inquiries may be directed to our main number at (925) 776-3050.

This position is responsible for coordinating and supervising recreation programs and managing a recreation facility and staff. Provide oversight of day-to-day operations for programs, services, facility rentals, and other recreation center uses.

The City of Antioch's mission is to deliver quality services with integrity, excellence, and innovation.

City of Antioch Main Telephone (925) 779-7000.

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