East Brunswick Recreation & Parks

Are you an East Brunswick Resident?:*

YESNO

Are you looking to purchase Daily Tickets to Crystal Springs?:*

YESNO

YOU DO NOT NEED TO COMPLETE THIS FORM IF YOU ARE ONLY LOOKING TO PURCHASE DAILY ADMISSION TICKETS TO CRYSTAL SPRINGS FAMILY WATERPARK AND DO NOT LIVE IN EAST BRUNSWICK.

You may continue directly to the Crystal Springs Registration page to check out as a guest.
Crystal Springs Daily Admission Tickets

The online registration system provides our participants with an additional method of registering for most Recreation programs. Individuals can register for a class, view household history, and pay a balance, 24 hours a day. In order to use this system, first time registrants must submit this completed form to the Department of Recreation and Parks, along with proof of residency for all adults (valid driver's license OR current lease/mortgage with a photo ID) and proof of age (birth certificate or passport) for all children.

SELFIES DO NOT COUNT AS PROOF.

Once we have received your completed form and proofs, we will send you an email confirming receipt and provide you with a link to set up your username and password so that you may access our online registration system or log in to our EB Rec App.

Please note if you are submitting this form after 4:30 pm on a Friday, you will receive your information that following Monday, however sometimes it may take 24 to 48 from then to receive a response from us. This form DOES NOT automatically provide you with your login information.

If all information on the form is not completed and the necessary proofs are not included, your form will not be accepted.

Primary Parent/Guardian/Individual Family Member Name:*

First NameLast Name

Primary Primary Parent/Guardian/Individual Family Member Address:*

Street Address

Street Address Line 2

CityState

Zip

Primary Primary Parent/Guardian/Individual Family Member Home Phone:

Primary Primary Parent/Guardian/Individual Family Member Cell Phone:*

Primary Primary Parent/Guardian/Individual Family Member Email Address:*

example@example.com

Primary Primary Parent/Guardian/Individual Family Member Date of Birth:*

Date

Primary Primary Parent/Guardian/Individual Family Member Gender:*

MALEFEMALEOther

Secondary Parent/Guardian/Individual Family Member Name:

First NameLast Name

Secondary Secondary Parent/Guardian/Individual Family Member:

Street Address

Street Address Line 2

CityState

Zip

Secondary Parent/Guardian/Individual Family Member Home Phone:

Secondary Parent/Guardian/Individual Family Member Cell Phone:

Secondary Parent/Guardian/Individual Family Member Email Address:

example@example.com

Secondary Parent/Guardian/Individual Family Member Date of Birth:

Date

Secondary Parent/Guardian/Individual Family Member Gender:

MALEFEMALEOther

Additional Family Member 1 Name:

First NameLast Name

Additional Family Member 1 Gender:

MALEFEMALEOther

Additional Family Member 1 Date of Birth:

Date

Additional Family Member 1 Grade:

If NONE, please write NONE.

Additional Family Member 1 Email Address:

example@example.com

Additional Family Member 1 Cell Phone:

Additional Family Member 2 Name:

First NameLast Name

Additional Family Member 2 Gender:

MALEFEMALEOther

Additional Family Member 2 Date of Birth:

Date

Additional Family Member 2 Grade:

If NONE, please write NONE.

Additional Family Member 2 Email Address:

example@example.com

Additional Family Member 2 Cell Phone:

Additional Family Member 3 Name:

First NameLast Name

Additional Family Member 3 Gender:

MALEFEMALEOther

Additional Family Member 3 Date of Birth:

Date

Additional Family Member 3 Grade:

If NONE, please write NONE.

Additional Family Member 3 Email Address:

example@example.com

Additional Family Member 3 Cell Phone:

Additional Family Member 4 Name:

First NameLast Name

Additional Family Member 4 Gender:

MALEFEMALEOther

Additional Family Member 4 Date of Birth:

Date

Additional Family Member 4 Grade:

If NONE, please write NONE.

Additional Family Member 4 Email Address:

example@example.com

Additional Family Member 4 Cell Phone:

Parent/Guardian Signature:*

Date:*

Date

Parent/Guardian Acceptable Proofs:

Valid Driver's License OR
Updated Address Letter from the DMV with Photo ID OR
Current Lease/Mortgage with Photo ID

Additional Family Member Acceptable Proofs:

Birth Certificate OR
Passport OR
Valid Driver's License (if over 18)

If these proofs are not included or are incorrect/expired your form
WILL NOT be accepted.

Please make sure all uploaded proofs are clear and legible!

Primary Parent/Guardian/Individual Family Member Proof of Address:*

Secondary Parent/Guardian/Individual Family Member Proof:

Additional Family Member 1 Proof:

Additional Family Member 2 Proof:

Additional Family Member 3 Proof:

Additional Family Member 4 Proof:

Parent/Guardian Information:

Additional Household Family Members

MEMBER #1

MEMBER #2:

MEMBER #3:

MEMBER #4:

PROOFS