Notice: UPDATED NOTICE TO RESIDENTS: Due to air quality concerns, all indoor recreation facilities in Mount Pearl will remain closed until further notice. This includes: All indoor recreation facilities Day camps The outdoor canoe/kayak program will also remain closed at this time. We will reopen these programs and facilities once air quality conditions improve. Updates will be provided through the City’s website and social media channels.
Step 1. Create Billing Contact
Step 2. Activate Account
Step 3. Account Activated

Contact Information       Note: Red text indicates required fields.
Billing First Name:
Billing Last Name:
Address 1:
Address 2:
Country:
  
Prov/State:
  
City: 
  
Postal/Zip Code: 
  
Phone 1: 
  
Phone 2: 
  
Email: 
  
Alternate Email:
   
Client #: 
  
 
Account Information
Username:
* We suggest your email address (Min Characters: 5)
Password:
Re-Type Password:  

Password Strength
     

Note: For the best Password Strength rating include:
  • Uppercase and lowercase characters
  • Numbers
  • Symbols
  • Eight or more characters
Extra Information
Sex At Birth:
  Male     Female     X     Decline to Answer  
Birthdate:
      
Gender Identity:
 
 
Guardian 1 Name:
 
Guardian 1 Phone:
 
Guardian 2 Name:
 
Guardian 2 Phone:
 
Emerg. Contact:
 
Emerg. #:
 
 Permission To Take Photo(s) Granted
Medical Information
MCP #:
 
List any medication presently taken:

Do you have any of the following conditions or requirements?:
Allergies:  YesNoEpi-pen Required:  YesNo
Head Injury:  YesNoAthletic Injuries:  YesNo
Assistance Required:  YesNoOther Medical Conditions:  YesNo

Please explain:  
Security Check

Captcha Verification  


Next