Registration Form - ActivityCenterReservationForm

Create an Account

Personal Information

FirstName

LastName

ID

Gender

Birthdate

Contact Number

+63

Address

Roles

Profile Picture (Optional) Accepted formats: JPG, PNG, GIF. Max size: 5MB

Account Information

Username

Password

Confirm Password

Password Requirements:

At least 8 characters
At least one uppercase letter
At least one lowercase letter
At least one number
At least one special character

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