Skip to form

City of Indio

100 Civic Center Mall, Indio, CA, 92201, US



Indio Teen Center Registration Form

Please fill out the form to the best of your ability. If your Parent/Guardian does not have access to email, please use your email address or an accessible email address and have your Parent/Guardian sign from there. You will be prompted to add an email address after you (Participant) sign the form.

Please check that you agree before continuing.
By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.
I.N.Click to Sign
I.N.Click to Sign
I.N.Click to Sign
I.N.Click to Sign
I.N.Click to Sign
I.N.Click to Sign
Signature HereClick to Sign
Your Name HereClick to Sign
06/25/2024Click to Sign

Create Your Signature

Please fill in your name and email and then either draw or type your signature below.


Signature Type

Type Draw Upload Custom
Clear Signature

Signature will be applied to the page. You will have a chance to review after signing.

Check this box to continue


Additional Signatures Required