Group Use Application for Community Center & Day Care Summer Programming

Group Information

Group Name   Please enter City Community Center Name OR Non-City Child Development Center Name

Contact Person  

Street Address

City

State Use postal abbreviation.

Zip Code

E-Mail Address  

Telephone Number

Fax Number

Do You Already Have a play.cabq.gov Household?  

Yes
No

Do You Need Your Account Access Reset? Let us know if you need help resetting your play.cabq.gov account access.

Yes
No

Attendance Information

Number Attending – Including Group Leaders  

Number of Group Leaders Attending   Requirements: One group leader to every 5 kids (6-7 years old) One group leader to every 10 kids (8 years and older)

Additional Notes