First Name * Last Name * Email Address * The program reminder and/or virtual link will be sent to this email address. Mailing Address City, State Zip Code * If others are participating with you, please list their names below: Where did you hear about this program? * Portage Park District newsletter Portage Park District website Park kiosk Facebook Instagram Park staff Word of mouth Other Are you currently on our mailing list? * Yes No Would you like to be added to our mailing list? * Yes No Leave this field blank
