Kernersville Parks and Recreation

Account Holder (Must Be An Adult)
Create Account
First, Middle, Last Name, Suffix First & Last Name Required	DOB * Gender * Male Female
Other Account Members (Spouse, Children, & Other Dependents)
First, Middle, Last Name First & Last Name Required	DOB Gender * Male Female
Residential Information
Address Line 1 Required
Address Line 2
City, State, Zip Required
Contact Information
Phone 1 Required
Phone 2
Phone 3
Email Address
Account Settings
Username/Login	Use My Email Address as Username
Password
Confirm Password