Residency Verification Form

Residency Verification Form

Please fill out this form to verify your household residency in order to receive the resident rate discount on programs, activities, special events, monthly facility passes and rentals.
A resident is defined as a person who has a physical residential address within the City limits; or an owner of property within the City limits.

City of Conroe Resident Benefits:
- Early Registration period
- Discounted Resident Rate
Click here to review your address using the city GIS map to find out if you're address is within the City limits of Conroe.

Once you have located your address on the map, you must provide documentation to prove your residency via one of the options below:

Option A: A valid government issued identification card, ex. Texas Driver’s License or ID with a city of Conroe address.

OR

Option B: A valid government issued identification card with one of the following utility bills in your name:
- Gas & Electric bill
- Water bill
OR

Option C: A valid government issued identification card with a Tax assessment showing City of Conroe property ownership.

The following are not accepted to prove residency:
- Post Office boxes
- Telephone or Cellular Phone bills
- Lease Agreements
Non-resident registration or unverified residents must wait until the resident registration window has passed in order to register.

Please include all household members names and dates of birth. Any adults over the age of 18 must submit their proof of residency for this household address. If including another adult in the household, please upload a photo of their ID as well.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birthdate*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
2. Additional Household Member Name

First NameLast Name
2. Birthdate

MonthDayYear
Date
3. Additional Household Member

First NameLast Name
3. Birthdate

MonthDayYear
Date
4. Additional Household Member

First NameLast Name
4. Birthdate

MonthDayYear
Date
5. Additional Household Member

First NameLast Name
5. Birthdate

MonthDayYear
Date
Upload an up close photo of your ID and or a supporting proof of residency (ex. electric bill) Proof of residence required for each adult 18 and up*

Cancelof
Please indicate your immediate interests*

Sports (soccer, softball, etc)Aquatics (swim lessons, etc)Community services (afterschool program, day camp, etc)Recreation (gymnastics, dance, etc)Special Events (turkey trot, etc)
Comments
Waiver*
I, the undersigned do hereby agree to display the appropriate behavior and abide by all rules and regulations while participating in the Conroe Parks and Recreation Department programs and/or activities. I understand that failure to do so may result in consequences leading up to and including dismissal from said program or facility usage. I also certify that to the best of my knowledge, I am physically fit and able to participate in said programs or activities. I agree to indemnify and hold the City of Conroe and its employees, instructors, and/or said volunteers harmless from liability, loss, cost or expenses (including attorney fees, medical, and ambulance costs) that may incur while participating in Parks and Recreation activities. In case of an emergency, I give permission for medical treatment. I also give permission for the City of Conroe to photograph me for future use in future publicity without compensation. These statements are also valid for any minors that I allow to participate. This form shall be considered valid until canceled or changed in writing by the undersigned.
Waiver Signature *
Should be Empty: