Please return this form promptly.
Form must be filled out if not previously submitted.
Proof of residency is necessary to guarantee that only residents living within the Park District's boundaries receive discounted rates.
Please complete all of the information below and click the Submit button to send in your Household Information Form.
If you are a park district resident you must also send us a copy of a current utility bill, driver's license or state ID.
After submitting this form, you can email your proof of residency to email@example.com or you can mail it to: Pottawatomie Community Center,
8 North Avenue,
St. Charles, IL 60174.