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City of Lafayette


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80026 Conditions and Forecast
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On-Line Registration Household Information

To be able to perform on-line class registration, we will need updated household information.  Please list all family members in the household, including birthdate and grade if applicable.  You will be emailed with your household password within 1-2 business days so you can start on-line registration.  If you have any questions, please do not hesitate to contact us at 303-665-0469. 

 
* Primary Guardian/Adult
Name (First, Last)		 
* Address 
* City 
* State 
* Zip Code 
* Home Phone 
Work Phone 
Cell Phone  
* E-mail Address 
* Date of Birth (mm/dd/yyyy) 
Secondary Guardian/Adult
Name (First, Last)		 
Date of Birth (mm/dd/yyyy) 
3rd Family Member
Name (First, Last)		 
Date of Birth (mm/dd/yyyy) 
Grade 
4th Family Member
Name (First, Last)		 
Date of Birth (mm/dd/yyyy) 
Grade 
5th Family Member
Name (First, Last)		 
Date of Birth (mm/dd/yyyy) 
Grade 
6th Family Member
Name (First, Last)		 
Date of Birth (mm/dd/yyyy) 
Grade 
Notes: 
 
Thank you for taking time to fill out the Household Account Verification form. 
 
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