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City of Indio

itsupport@indio.org

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

760-391-4000

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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.
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12/21/2024Click to Sign

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

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