Gem County Recreation District

Register as a new user

Please provide the information below. Items marked with * are required.

NOTE: If you have previously filled out your registration and have not received a confimation email,
Please call the GCRD office @ 208-365-5748 to activate your account.
Please DO NOT use this form to register again.

NOTE: This portion of the registration is for parents only. Please do not enter your childs information into the form below.
You will add children to your account once your registration is complete and you log into your account.

*	First Name
*	Last Name
	Spouse/Guardian First Name (if different from last name above, please include last name)
*	E-Mail Address
*	Please Verify your E-Mail Address
	Alternate E-Mail Address
*	Username (NOTE: once selected, this cannot be changed)
*	Password
*	Verify Password
*	Address
	Address 2
*	City
*	State
*	Zip Code

*	Primary Phone Number (xxx-xxx-xxxx)
*	This phone number is your	Home Phone Work Phone Cell Phone
	Secondary Phone Number (xxx-xxx-xxxx)
	This phone number is your	Home Phone Work Phone Cell Phone
	Fax (xxx-xxx-xxxx)
*	Family Emergency Contact Name
*	Emergency Contact Number (xxx-xxx-xxxx)
*	Emergency Contacts Relationship to you
*		Enter the code shown: