Manheim Township Park and Recreation - Household Information

Please include ALL family members when creating your household.

If adding family members to an existing household account,
you will need to contact the office at 717-290-7180 ext. 3100.

Login (up to 50 chars) *

Password (up to 50 chars) *

Re-Type to Confirm

First Name *

Last Name *

Category

Address Line 1 *

Address Line 2

Gender *

City *

State *

Zip Code *

Cell Phone *

Phone #2

Phone #2 Extension

Phone #2 Type

Email #1 *

Confirm Email *

Birthday *

Add New Contact