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.

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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.

Create Your Signature

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

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Listed Signers

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