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2. Palm Beach Gardens Recreation Department Residency Verification Form
4. Camper's First Name*
5. Camper's Last Name*
7. Parent's First Name*
8. Parent's Last Name*
10. Street Address*
11. Zip Code*
13. Email Address*
14. Phone Number*
16. Camp(s) Enrolled In (select all that apply)*

    1. Magic / Marlins Classic Camp
    2. Dolphins / Panthers Classic Camp
    3. Middle School EDGE Camp
    4. Sports R Us Camp
    5. Amazing Athletes Youth Sports Camp
    6. Fishing Camp
    7. Tennis & Fitness Camp
    8. Pickleball & Fitness Camp
    9. Jr. Lifeguard Camp
    10. Stop Motion Animation Camp

    1. Fun-gineering Camp
    2. Advanced Robotics & Coding Camp
    3. Website Wizards Camp
    4. LOL Film Making Camp
    5. Spy Academy Camp
    6. Krafty Kids Camp
    7. Inventors & Explorers Camp
    8. Kids Need More Art Camp
    9. ArtESCAPE Camp
18. Submit at least two of the following:
20. Upload copy of government issued ID (driver’s license) that contains your name and PBG address.
22. Upload copy of mortgage or rental/lease agreement that contains your name and PBG address.
24. Upload copy of other agency-issued documents (FPL, Seacoast, Xfinity, cell phone, etc) that contains your name and PBG address.
26. If any documents that are submitted appear to be altered in any way you will be asked to present the documents in person.
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field