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Welcome to the Village of Grayslake's online Request for Service System.
Today is Saturday, May 27, 2017.
Aquatic Center Request

Purpose. This form is used to communicate with Aquatic Center personnel to request services or information.

* Information is required.

Contact Information

* First Name:
* Last Name:
Business Name:
Email:
* Daytime Phone: (
Fax: (
* Address:
City:
State:
ZIP:

* What is the nature of your request?
 
* Request, comment, or concern...
 
Check here to have email confirmation of this submission.

* Information is required.

Notes:

Upon submitting a request, you will receive a tracking number which may be used to follow up with your request at a later date. If an email address is provided, you may choose to receive a copy of your request via email which includes this tracking number.

Information we receive may be considered public information which is subject to disclosure under current state law. Learn more about our Privacy Policy.

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.

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