Sign-up (Plainville Park Department Is Now Using Microsoft 365 Forms for Program Registrations)

2. Choose from the following:

   1. Coach
   2. Assistant Coach
   3. Town Pool Family / Single Membership - Open for Registration Summer 2023
4. 2023 Pool Membership Family Name*
5. Email*
7. Parent(s) Name*
8. Children(s) Name*
10. Phone Number*
11. Address*
13. Medical Info: Allergies, medical conditions, or physical limitations*
Leave This Blank:


15. 1. Receive an email copy of this form.
16. Email address

    This field is not part of the form submission.

17. Submit

* indicates a required field