Saddleback Valley Magazine Fall 2015 | Page 5

NEW Online Registration! Community Services Department Office Located at: SVUSD 25631 Peter A. Hartman Way Mission Viejo, CA 92691 fyi How to create your new Activenet Account and to register! PROGRAM REGISTRATION FORM To create your login & password: Please visit our website at CommunityServices.svusd.org REGISTER ONLINE AT: COMMUNITYSERVICES.SVUSD.ORG Last Name________________________________ First Name ________________________ Female ___ Male ___ • From the main menu, click on “Register Online” and select “Request Account.” • Please fill in all the required fields to create an account and click “Submit.” Street Address_________________________________ City, State, Zip __________________________________ Edits/Changes to your account: Home Phone: ( ) __________________________ • Please verify all your information is current so we can contact you with program updates. Email Address: _____________________________________________________________________________________ • Current Online Customers: (You already have a login and password.) Activity # • Please visit our website at CommunityServices. svusd.org. PRIMARY CONTACT (responsible adult for registering persons in the courses) )________________________________ Cell Phone: ( Participant Name Grade Birthday (minors) Sex M/F M/F M/F Activity Name Start Date Fees • From the main menu, click on “Register Online” and select “My Account.” TOTAL Please check here if you would like to contribute $1.00 to the Mark Feldman Scholarship Fund Form of payment (check one): MasterCard Visa Card American Express Credit card number: __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ Discover Expiration date: ___/___/___ TOTAL AMOUNT $___________ If credit card name is different from parent/guardian listed above, please write it here: ____________________________ Authorized Signature__________________________________________________ Date ________ }}}}}}}}}}}}|)A