Skate Park Registration Form
|
|
- Cassandra Lambert
- 5 years ago
- Views:
Transcription
1 William V. Zimmermann Skate Park Registration Form Participant Name Date of Birth Home Phone address Street Address City State Zip Code Participant is (please check all that apply): in-line skater skateboarder FEE $ Please Print: Parent/Legal Guardian Home Phone Cell Phone Street Address City State Zip Code 1 Emergency Information: If Parent/Legal Guardian cannot be reached, please notify: Name Relationship: Phone: Please list any special medications, allergies or medical restrictions Insurance Company (Medical) (optional) Policy/Group Number (optional) PLEASE TURN OVER AND COMPLETE THE WAIVER INFORMATION! City of New Rochelle Doc: Word/OfficeMgr/Skatepark
2 Department of Parks and Recreation Sidney E. Frank Skate Park Release, Waiver, and Hold Harmless Agreement In consideration of the willingness of the City of New Rochelle, Department of Parks and Recreation (the Department ) to provide access to the Sidney E. Frank Skate Park, I hereby waive for myself and on behalf of my child or ward, and any persons claiming by, through or under me or the, any and all claims or causes of action which I or my child or ward now or hereafter may have against the Department, City of New Rochelle, its officers, agents, servants, and employees, for all injuries and damages suffered arising from use of the Skate Park or while at the Skate Park for any other reason. I acknowledge that in-line skating and skateboarding and other physical activities at the Skate Park involve the risk of serious bodily injury and I fully accept and assume all risks and responsibilities for all losses and damages incurred as a result of my participation, and the participation by my child or ward, in these activities. I acknowledge that all persons using the Skate Park pursuant to this Agreement are in good health and good physical condition. I have read the Rules of the Skate Park and understand that full gear is required including but not limited to helmet, elbow and kneepads, and wrist guards, and I will abide by them in full. I have explained the Rules to my child and/or ward and agree that the staff of the Department may deny further use of the Skate Park to any person who violates the Rules. I agree to indemnify, defend and save harmless the Department, and The City of New Rochelle, and its officers, agents, employees, and servants from and against all claims, suits, judgments liabilities and expenses, including attorney s fees, arising out of the use of the Skate Park as contemplated by this Agreement. I have read and understand the above agreement Signature of Parent/Legal Guardian or Participant if 18 or older Date Signed Home Phone Please print: Participant s Full Name
3 William V. Zimmermann SKATE PARK RULES Skaters are expected to follow the rules listed below plus any directions given by the Skate Park staff. Failure to do so may result in the loss of skating privileges, and NO REFUNDS will be given. 1. All skaters must sign in with attendant. 2. All skaters must sign Waiver/Release forms. Minors must have a parent or guardian sign. 3. All skaters assume risk of injury. The City of New Rochelle and its agents are not responsible for any injuries. 4. Skaters must wear proper safety equipment, including but not limited to, helmets, knee and elbow pads, and wrist guards. 5. No trespassing after park hours. 6. Skate Park can only be used when a monitor is on site. 7. No bicycles, roller skates or scooters are permitted inside this facility. 8. No littering. Please use trash containers. 9. Do not use ramps or obstacles that are beyond your ability level. 10. No food or beverages in the skating area. 11. Skaters under 10 years of age must be accompanied by someone 18 years of age or older. 12. No climbing on the fence. 13. No alcohol, smoking, drugs, foul language, inappropriate behavior, glass containers, or loud music. 14. Shirts are required at all times. 15. No headsets or stereo s allowed in the park.
4 William V. Zimmermann Hours of Operation: SIDNEY E. FRANK SKATE PARK At City Park (Fifth Avenue & Potter Avenue) Entrance and available parking in the main City Park parking lot Peak Hours May 1st October 22 nd School Year Weekdays Open 3:30pm to 7:30 pm Summer Weekdays, Weekends and Holidays Open 12:00 noon to 7:00 pm Off Peak Hours October 23 rd April 30 th January/February Closed Weekends, and Holidays Open 12:00 noon to 4:00 pm weather permitting CLOSED ON SCHOOL DAYS, and when the temperature is below 32 degrees For exact days and times monthly, please go to our website Fees: Day Pass $ Time Pass $50.00 For weather closing information Call ½ hour before scheduled opening Please remember even if the weather clears, the park may not be opened due to the dampness of the ramps and/or asphalt. Annual Memberships $ Per Person Annual members receive reduced fees for clinics and camps All memberships expire APRIL 30 TH Skate Park Policy NO REFUNDS
5 PARKS & RECREATION CITY HALL 515 NORTH AVENUE SPECIAL EVENING OFFICE HOURS TUESDAY, JUNE 20, :30 PM 8:30 PM WE WILL BE OPEN LATE TO TAKE SKATE PARK, TENNIS CARD AND OMNICARD APPLICATIONS.
Town Date Fee Schedule for each event:!
A new contest series developed by 2nd Nature and local recreation departments to bring the skateboarding communities together to have a good time and get free stuff. There will be three skill levels; 13
More informationSunshine Kids Club Camp
Please offer swimming test to my child to allow him/her to swim in the deep end. I understand that a certified lifeguard must deem my child passed in order for my child to pass the rope at the 3 foot section
More informationMatthews Thomas Park Pool Membership 6737 Olde Eight Rd Boston Heights, OH (330) Boston Heights Village Hall (330)
Matthews Thomas Park Pool Membership 6737 Olde Eight Rd Boston Heights, OH 44236 (330) 655-5160 Boston Heights Village Hall (330) 650-4111 POOL OPERATING SEASON: SATURDAY, MAY 28, 2011 THROUGH SEPTEMBER
More informationFinancial Agreement Jaguar FC Teams. LEAGUE/TOURNAMENT/UNIFORM fees will be invoiced separately August 1 & March 1
Financial Agreement Jaguar FC Teams Player Name Date of Birth - - ANNUAL ONE-TIME NON-REFUNDABLE CLUB Fee: $50 due at registration LEAGUE/TOURNAMENT/UNIFORM fees will be invoiced separately August 1 &
More informationSincerely, SUMMER CAVE STAFF
Dear Parents and Guardians, Thank you for registering your child to participate in our Summer Cave program. We are looking forward to providing a safe, fun, and enjoyable summer experience. Attached is
More informationCedars Kids Club. Choose July or August 4-week Session. Mondays & Wednesdays 9am 12pm (Instruction) Thursdays 4-6pm (Tournament, Play & Prizes)
Cedars Kids Club Have fun while learning the basic skills, techniques and rules of golf. Boys and girls ages 5 15 can register for this exciting and foundation-building summer program. Choose July or August
More informationHave fun while learning the basic skills, techniques and rules of golf. Beginners and Advanced Players ages 5-15
Cedars Kids Club Have fun while learning the basic skills, techniques and rules of golf. Beginners and Advanced Players ages 5-15 Ages 10 & Under: Session 1: July 5 to July 31 Session 2: August 2 to August
More informationPARADE ENTRY FORM. Deadline to submit entry form is Monday, February 6, Telephone: ( ) _ ( ) ( ) ( ) WORK FAX HOME MOBILE
SATURDAY, FEBRUARY 11, 2011 Parade Time begins at 6:00PM-7:00PM PARADE ENTRY FORM Parade will take place on Main Street, beginning on 12 th Street and ending on 5 th Street. Administrative Fee: $20.00
More informationWelcome. Home Casa Club Drive Bakersfield CA
Welcome Home 15200 Casa Club Drive Bakersfield CA 93306 www.riobravocountryclub.com 661-871-4900 Becoming a member at Rio Bravo Country Club is more than joining a private club, it s being part of a caring
More informationPawtucket & Providence Figure Skating Club Associate Membership Application
Pawtucket & Providence Figure Skating Club 2018-19 Associate Membership Application This form must be completed and submitted with payment. The membership will not be processed without both. Associate
More informationJune 11 th 15 th, Information & Registration Packet
June 11 th 15 th, 2018 Information & Registration Packet SUMMER CAMP INFORMATION General Information Our camp is offered to skaters of all levels, ages 6-14. All skaters are welcome and no skating experience
More informationTHURSDAY 2018/19 SESSION 2 IMPORTANT INFORMATION FOR IP SESSION 2
THURSDAY 2018/19 SESSION 2 IMPORTANT INFORMATION FOR IP SESSION 2 Introduction- These lessons are designed to provide a jumping-off point where skaters can choose whether to pursue a recreational or competitive
More informationDeadline to submit entry form is Tuesday, February 13, PLEASE PRINT Organization Name: Contact Person:
PARADE EN- TRY FORM SATURDAY, FEBRUARY 17, 2018 Parade Time begins at 6:00PM Deadline to submit entry form is Tuesday, February 13, 2018 PLEASE PRINT Organization Name: Contact Person: Telephone: ( ) (
More informationJust Hoop Basketball
Just Hoop Basketball (Girls Basketball Club Program) (Ages 9 17 Years Old) HANDBOOK ACCEPTANCE FORM I acknowledge that I have received, read and discussed with my daughter the information in the Player
More informationPasadena Figure Skating Club www. pasadenafsc. com
Pasadena Figure Skating Club www. pasadenafsc. com Membership Application Form The Club s membership year runs from July 1, 2018 through June 30, 2019. There is NO pro-rating of fees for those who join/renew
More informationApplicant Information Name of Applicant: Address of Applicant: City: State: Zip Code: Home Phone #: Work Phone #: Address:
WARREN COUNTY PARKS & RECREATION Claude A. Stokes Community Swimming Pool Group Reservation Form For 20 Patrons or more at 20% Discount My signature on this form indicates the following: (i) I am requesting
More information15 th USA Wakeboard Nationals September 27 29, 2013 Lake Wylie at Ebenezer Park - Rock Hill, South Carolina
15 th USA Wakeboard Nationals September 27 29, 2013 Lake Wylie at Ebenezer Park - Rock Hill, South Carolina (Please check which event(s) you will compete in as of your age on September 26, 2013) Boys (14
More informationPleasant Prairie Patriots House Hockey
Pleasant Prairie Patriots House Hockey 2012-2013 Registration Packet Hockey@plprairie.com www.recplexonline.com/sports/hockey Ice Arena Front Desk: 262-925-6755 Hockey Director: 262-925-6572 Pro Shop:
More informationI, Date of Birth../../ Home address... City/State/Country Contact address is Australia. Emergency contact name.. Emergency contact phone no...
XTREME KITES & PADDLE PTY LTD PHONE: 0402 842 944 RELEASE AND WAIVER OF LIABILTY ASSUMPTION OF RISK AND IMDEMNITY AGREEMENT This is an important document which sets out your legal rights and obligations
More informationTHANKS AGAIN AND HAVE A GREAT WEEKEND! Clay Dickey President BSC Softball Inc
Dear BSC Family, On behalf of the entire BSC staff, I want to personally thank you and welcome you to Myrtle Beach, SC for the 2016 BSC Atlantic Coast Championships. We will have plenty of staff on hand,
More informationMEMBERSHIP APPLICATION FOR SPRINGFIELD GOLF COURSE (INCLUDES PRIVILEGES AT CHESTER, FORT MILL, AND LANCASTER)
Primary Member Name: MEMBERSHIP APPLICATION FOR SPRINGFIELD GOLF COURSE (INCLUDES PRIVILEGES AT CHESTER, FORT MILL, AND LANCASTER) APPLICANT INFORMATION Current address: MEMBERSHIP TYPE & BILLING OPTION
More information2018 HMBYC Youth Sailing Camp. Gender: Height: Weight: First Parent s Name: Second Parent s Name: Mailing Address: Mailing Address:
Sailor s Information: Camp Registration First and Last Name: (PLEASE PRINT) Age: Gender: Height: Weight: Parent s or Guardian s Information: First Parent s Name: Second Parent s Name: Mailing Address:
More informationWESTWOOD LANDOWNERS ASSOCIATION Application for Recreation ID Cards
WESTWOOD LANDOWNERS ASSOCIATION Application for Recreation ID Cards NAME (print): ADDRESS: S/B/L: PHONE: CELL HOME WORK NAME AND AGE OF ALL PERSONS AT YOUR RESIDENCE RECEIVING ID CARDS TOTAL CARDS ISSUED
More informationFirst Name Last Name Date of Birth / / Complete Address Home Phone Cell Phone
Member Information Date of Birth / / Complete Address Home Phone Cell Phone Email Additional Family Members Date of Birth / / Please Circle: Male / Female Relationship Date of Birth / / Please Circle:
More informationPasadena Figure Skating Club www. pasadenafsc. com
Pasadena Figure Skating Club www. pasadenafsc. com Membership Application Form The Club s membership year runs from July 1, 2017 through June 30, 2018. There is NO pro-rating of fees for those who join/renew
More informationTEXAS HOTSHOTS BASKETBALL CLUB
TEXAS HOTSHOTS BASKETBALL CLUB www.texashotshots.us PLAYER REGISTRATION PACKET REGISTRATION FORM Player Name: (First, Middle, Last) Home #: Address: City: Zip: Date of Birth: Grade: Uniform Size: Mother
More informationPlease note: Campers with incomplete/missing forms will not be allowed to participate in REC Kids Camp. You do not need to submit this page.
Form Instructions Thank you for signing up for REC Kids Camp! The following pages are all required. Please read through carefully, as all areas of each form must be filled out in order be considered complete.
More informationT EXAS R OLLERGIRLS J UNIOR L EAGUE
2010 SPRING SESSION REGISTRATION Texas Rollergirls Rock-n-Rollerderby proudly presents the Texas Rollergirls Junior League, aka the Austin Derby Brats. This junior flat track derby program, open to girls
More informationFAR WEST SKIING EVENT INFORMATION SHEET COMPLETE RACE REGISTRATION FORM AND OR FAX TO THE FAR WEST OFFICE BY DEADLINE
FAR WEST SKIING EVENT INFORMATION SHEET COMPLETE RACE REGISTRATION FORM AND E-MAIL OR FAX TO THE FAR WEST OFFICE BY DEADLINE Name of Event: U14 Regional Championships of Event: March 13-18, 2018 Type of
More informationMidwest Cheer Elite- Cleveland All-Star Full Travel Cheerleading, Contemporary, Hip Hop & Pom
Midwest Cheer Elite- Cleveland All-Star Full Travel Cheerleading, Contemporary, Hip Hop & Pom 2018--2019 Welcome to Midwest Cheer Elite Cleveland. We are delighted that you have chosen to become a part
More information5 Friday Nights: January 5, 12, 19, 26 and February 2
Hanover Township Recreation Ski Club 2018 Friday Night Twilight Program at Shawnee Ski Resort 5 Friday Nights: January 5, 12, 19, 26 and February 2 Group meets promptly at 3:00 p.m. in MJS cafeteria. Bus
More informationBuffalo Speed Skating Club 44 Park Street, Holland, NY
Club Skating & Membership Fees 2016-2017 Club Membership Dues - $50.00, (tax deductible). All skaters (other than drop in s) must be members of the BSC. The $50.00 per person membership dues are separate
More informationSUMMER DAY CAMP 2017
SUMMER DAY CAMP 2017 Weekly themed activities! Child s Name(s): Parents Names: Parents Phone Numbers: Emergency Phone Number (If different from above): Allergies: Special Instructions: United Gymstars
More informationFieldstone Pond Homeowners Association
Fieldstone Pond Homeowners Association To: Fieldstone Pond Homeowners Date: April 28, 2017 Subject: Recreation Facilities Rules and Regulations The pool will open on Saturday, May 27 th and remain open
More informationAlcatraz 2009 Preliminary Information Meeting: Saturday October 18, 2008 DC Ranch Village 6:00-7:00PM N. Thompson Peak Parkway, Scottsdale
Alcatraz 2009 Preliminary Information Meeting: Saturday October 18, 2008 DC Ranch Village 6:00-7:00PM 18501 N. Thompson Peak Parkway, Scottsdale Introduction/history of the event Description of the swims
More informationPost Falls Baseball Club
Post Falls Baseball Club Letter of Commitment (10U-14U) The goals of the Post Falls Baseball Club (PFBC) program are to develop skills, confidence, sportsmanship, teamwork and to have fun with the competitive
More information2017 FGCU SOFTBALL TEAM CAMP APPLICATION
s Available: Monday-Wednesday, July 24-26 9-12 pm every day All Skills Camp Objectives To teach fundamentals of all aspects of the game: throwing, catching, hitting, slapping, bunting, baserunning, etc.
More informationTAAF YOUTH TRACK AND FIELD PARENT INFORMATION 2018
TAAF YOUTH TRACK AND FIELD PARENT INFORMATION 2018 TAAF YOUTH TRACK AND FIELD PARENT INFORMATION 2018 Letter to Parents Dear Parents and Participants, The City of La Porte Parks and Recreation Department
More informationAssociation Falls at Green Meadows Community Association, Inc.
RELEASE WAIVER OF LIABILITY ASSUMPTION OF RISKS and INDEMNITY/HOLD HARMLESS AGREEMENT for use of FALLS AT GREEN MEADOWS COMMUNITY ASSOCIATION SWIMMING POOL 1. Defined terms under this Agreement: Association
More informationLearn to Skate with Season MIDLAND FIGURE SKATING CLUB. Midland Civic Arena 405 Fast Ice Drive, Midland, MI Your dream begins here!
Learn to Skate with The Midland Figure Skating Club is a nonprofit organization and a proud member of United States Figure Skating. We offer programming for beginning tots through adults and all skill
More informationWelcome to the Santa Fe Ultimate Coed Summer League!
Introduction Welcome to the Santa Fe Ultimate Coed Summer League! Ultimate Frisbee is a fast growing sport. People all over the country compete in national--and even international--competitions at the
More informationWELCOME TO THE SKATING YEAR
SKATING CLUB OF SOUTHERN CONNECTICUT TERRY CONNERS ICE RINK, COVE ISLAND PARK, STAMFORD, CONNECTICUT DARIEN ICE HOUSE, OLD KINGS HIGHWAY, DARIEN, CONNECTICUT SONO ICE HOUSE, WILSON AVENUE, NORWALK, CONNECTICUT
More information45 East Boston Mills Road Boston Heights, OH (330)
45 East Boston Mills Road Boston Heights, OH 44236 (330) 650-4111 MATTHEWS-THOMAS PARK PAVILION POOL MEMBERSHIP SEASON: May 26, 2014 through September 1, 2014 MEMBERSHIP FEE RESIDENT NON-RESIDENT Senior
More informationKarkara Kids Capoeira Afterschool Program
Karkara Kids Capoeira Afterschool Program 2016-2017 Student s Name: Today s Date: / / Address: Email Address: Mother s Name: Cell Phone: Father s Name: Cell Phone: Who does the child live with? Date of
More informationEastern Region U14 NWAC GS & SL Project National Winter Activity Center, Vernon, NY February 19&20, 2018
Eastern Region U14 NWAC GS & SL Project National Winter Activity Center, Vernon, NY February 19&20, 2018 Project Goals To bring selected U14 athletes from NYSSRA, TSASRA, PARA, NJARA, & SARA, for a GS
More informationThe Riviera Swim Team Shoot Out at the Riviera June 29, 2013
SANCTION: LOCATION: FACILITY: ELIBILITY: RULES: This meet is a closed invite, limited to the first 200 swimmers, sanctioned by USA Swimming and Indiana Swimming. Sanction #IN and United States Masters
More informationLilac Festival Parade Application
Lilac Festival Parade Application Applications MUST be received by Friday, June 9, 2018 Parade Date: June 17, 2018 Start Time: 4:00 p.m. Check type of parade entry you are applying for: (SELECT ONLY ONE)
More informationEligibility: Female athletes must meet the following criteria:
APPLICATION FOR PARTICIPATION AS A MEMBER OF THE USA JUNIOR WOMEN S INLINE HOCKEY TEAM THAT WILL COMPETE IN 2013 WORLD CHAMPIONSHIPS IN ANAHEIM AND HUNTINGTON BEACH, CALIFORNIA Team Trials April 19-20,
More informationSwimmer Signature Date. Swimmer Signature Date. Swimmer Signature Date. Swimmer Signature Date. Parent/Guardian Signature Date
Parent & Swimmer Contract Sportsmanship: The Greater Wichita Swim League (GWSL) strives to foster good sportsmanship and fellowship among swimmers and parents. We ask that each swimmer and parent to commit
More informationApril 14, Welcome Montana Taekwondo Enthusiasts,
April 14, 2016 Welcome Montana Taekwondo Enthusiasts, It is with great pleasure, I welcome you to the 2016 Montana Taekwondo Association State Taekwondo Championships! We plan on having a great day in
More informationSpring Freestyle Ice 2018 Registration Packet
Spring Freestyle Ice 2018 Registration Packet General FS Ice Schedule & Fees Registration Deadline: Monday March 5, 2018 Freestyle ice is available during the fall, winter, spring and summer seasons. Schedules
More informationAfter School Registration
7480 Narcoossee Road, Suite 100A-E Orlando, Florida 32822 (407) 826-1994 www.upmafc.com 2016 2017 After School Registration Date of Registration: Registration Fee/Deposit: Student s Name: Age: Birth Date:
More informationValley Junior Warrior Parent/Guardian of the Player Agreement
Valley Junior Warrior Parent/Guardian of the Player Agreement Valley Junior Warriors 7 Parkridge Road Haverhill, MA 01835 Tel: 978.557.5518 Fax: 978.557.5519 www.jrwarriors.com The Valley Junior Warriors
More informationTHURSDAY 2018/19 SESSION 1 IMPORTANT INFORMATION FOR IP SESSION 1
THURSDAY 2018/19 SESSION 1 IMPORTANT INFORMATION FOR IP SESSION 1 Introduction- These lessons are designed to provide a jumping-off point where skaters can choose whether to pursue a recreational or competitive
More informationLilac Festival Parade Application
Lilac Festival Parade Application Applications MUST be received by Friday, June 7, 2019 Parade Date: Sunday, June 16, 2019 Line up: 3:15 p.m. Start Time: 4:00 p.m. Theme: Bicycles and Bouquets Check type
More informationCONTESTANT APPLICATION
CONTESTANT APPLICATION NAME BIRTHDATE AGE ADDRESS CITY ZIP PHONE CELL PHONE E-MAIL ADDRESS EDUCATION HIGH SCHOOL COLLEGE / TECHNICAL SCHOOL / YEARS ATTENDED LIST MAJORS AND ANY DEGREES THAT YOU HOLD SCHOLASTIC
More informationPlayer and Parent Commitment Letter for 2016/2017 Season
Below The Rim is an organization that is committed to making a positive difference in the lives of youth athletes. Our vision is to provide opportunities for youth to develop their full potential through
More informationRules and Regulations
Rules and Regulations Note: Definition of Member of Hickory Ridge Home Owners Association is as follows: Homeowners, lot owners and fulltime residents of lots 34-59 and 61-72 and those who are homeowners,
More informationWarren County Farmers Fair Release and policy on alcohol and drugs
Guidelines for 4-H Herdsmen at the Warren County Farmers Fair 1) ALL designated herdsmen will complete an application. 2) ALL designated herdsmen will complete a 4-H event permission form. 3) Designated
More informationDENVILLE RECREATION 2014 SKI & SNOWBOARD PROGRAM
Registration for the Denville Recreation Ski and Snowboard Program is now open. The bottom of this form should be completed for each participant and returned to Don Bogardus, Denville s Recreation Director,
More informationFt Johnson Estates Swimming Pool Club 2017 Rules, Regulations, & Liability Waiver
Ft Johnson Estates Swimming Pool Club 2017 Rules, Regulations, & Liability Waiver A. MEMBERS AND GUESTS SWIM AT THEIR OWN RISK Periodically there will be an attendant at the pool, but no lifeguard on duty.
More information2018 MEMBERSHIP & USE APPLICATION (Polo players Basic Park Membership)
2018 MEMBERSHIP & USE APPLICATION (Polo players Basic Park Membership) Rider Name: Parent/Guardian name if under age 18: Address: City: State: Zip: Date: Phone: Email: Date of Birth: $60 -- Annual (Polo
More informationCENTRAL DIVISION SKILLS & THRILLS CAMP APRIL 7 TH & 8 TH Granite Peak Ski Area
CENTRAL DIVISION SKILLS & THRILLS CAMP APRIL 7 TH & 8 TH Granite Peak Ski Area Friday, April 6 th Arrive in Wausau Host Motel: Quality Inn of Wausau 8:00 PM Coaches Meeting for those who are coaching and
More informationMJP REGISTRATION CHECKLIST
MJP REGISTRATION CHECKLIST Welcome to MJP! We are so pleased that you will be joining us to learn the exciting sport and art form of Irish dance. To help you ensure your registration is complete, we have
More informationRegistration Form (Turn one in for each athlete)
Registration Form (Turn one in for each athlete) Athletes Name (Last/First) Birth Date: Age: Gender: [ M ] [ F ] School: Address: City: Zip: Mothers (Last/First): Cell: Home: Fathers (Last/First): Cell:
More informationARCHERY MEMBER AGREEMENT
STAFF USE ONLY: PACKET & ID: _ CART EZ: SCHEDULED: PAID: /MTHLY: PKGS/#/SS: INITIAL INITIAL WHERE/LENGTH INITIAL INITIAL INITIAL 4990 Ronald Reagan Blvd. Johnstown, Colorado 80534 l P: 970-578-0717 l F:
More informationImproving the lives of our youth.
2017-2018 PROGRAM WAIVER NATIONAL WINTER ACTIVITIES CENTER. (HEREINAFTER THE CENTER ) PROGRAM FULL AND COMPLETE RELEASE OF LIABILITY AND INDEMNITY AGREEMENT THE CENTER requires wearing helmets for skiing
More informationPLAYER REGISTRATION PACKET
2016-2017 PLAYER REGISTRATION PACKET Welcome to Team Challenger FC North! Please complete and execute the TCFC player registration packet prior to participation in any try-outs or participation in any
More informationWelcome. Home Casa Club Drive Bakersfield CA
Welcome Home 15200 Casa Club Drive Bakersfield CA 93306 www.riobravocountryclub.com 661-871-4900 Becoming a member at Rio Bravo Country Club is more than joining a private club, it s being part of a caring
More informationINTERNATIONAL RICE FESTIVAL PARADE SAFETY POLICY. Grand Parade
PARADE SAFETY POLICY Grand Parade *** Note: Parade will start at 10 th Street and Parkerson Avenue*** All Participants must enter at the checkpoint on Parkerson Ave. and Northern Ave.! There will be a
More informationo Member Information Form o Waiver o Allstar Prep Assessment form, including a 4x6 picture attached to this form. Please follow
Allstar Prep Check List: 1. Attend ONE assessment session; Friday, October 24 th 6:00-9:00 or Saturday, October 25 th 6:00-9:00. 2. Attend mandatory parent meeting 6:00-7:00 on the night of your assessment.
More information1000 Minnesota Avenue, Stevens Point, WI (715) stevenspoint.com/skate
1000 Minnesota Avenue, Stevens Point, WI 54481 (715) 346-1576 stevenspoint.com/skate WHAT IS I.S.I.? ISI stands for Ice Skating Institute and was developed in 1961. ISI is a recreational program used worldwide
More informationVelocity Boys Volleyball Club for
Velocity Boys Volleyball Club for 2017-18 Our Goal To form a volleyball club program primarily to enhance player and team development by competing against top club teams in our area. Similar to previous
More information1.1 RECREATIONAL FACILITIES. Greenfield Master Owners Association Recreational Facilities are located at E. Fair Ave. Centennial, CO
I. GENERAL INFORMATION GREENFIELD MASTER OWNERS ASSOCIATION RULES AND REGULATIONS FOR USE OF THE RECREATIONAL FACILITIES 1.1 RECREATIONAL FACILITIES. Greenfield Master Owners Association Recreational Facilities
More informationFall/Winter: Tuesday 6:30 7:30; Saturday 10:00 11:00. Fall/Winter: Thursday 5:00 6:30; Sunday 10:00 11:00 (tumbling); Sunday 11:00 12:30
Welcome to our 2018/2019 competitive information package. At Rebels Cheerleading Athletics, we provide athletes with a safe learning environment in which to develop good leadership skills with a focus
More informationCOMPETITION TEAM TRYOUT/PLACEMENT FORMS
2018-2019 COMPETITION TEAM TRYOUT/PLACEMENT FORMS There s a place for EVERYONE at Cheer Xpress! Everyone makes a team!!! Students will need to wear comfortable clothes, cheer shoes or tennis shoes and
More informationText the word PONY to to receive updates about Pony Express Sessions and weather cancellations!
Text the word PONY to 31996 to receive updates about Pony Express Sessions and weather cancellations! Dear Pony Express Participant: The Pony Express Horseback Riding Program is now registering for the
More information(*WINTER 18*) NUGGET SURF LESSONS / PRACTICE CLUB MEMBERSHIP Participant Agreement and Waiver of Liability
(*WINTER 18*) NUGGET SURF LESSONS / PRACTICE CLUB MEMBERSHIP Participant Agreement and Waiver of Liability First Name: Last Name: Birthdate / / Gender: Age: Grade: Name of School: Address: City: State:
More informationSTUDENT INFORMATION. Summer Camp Course Information
Summer Camp Course Information TAEKWONDO Tiger-Rock TaeKwonDo blends the ancient art of TaeKwonDo with modern approaches to teaching and sport science to make our style available to everyone. Cultivate
More informationAmerican Red Cross (ARC) Lifeguarding Courses SPAR Recreation & Aquatic Center 933 W. Parish Road, Sulphur, LA
American Red Cross (ARC) Lifeguarding Courses SPAR Recreation & Aquatic Center 933 W. Parish Road, 337-721-3040 March Weekends Only March 14 March 15, 16, 23, 23 Registration March 3-11 April Weekends
More information2017 VYF&C REGISTRATION CARD
Equipment deposit Post Dated 12/31/17 $175.00 Snack Bar Deposit Post Dated 12/31/17 $150.00 FAMILY PLAN 3 Registrants $500.00 4 Registrants $585.00 5 Registrants $645.00 Pricing does not include Camps
More informationGirls Softball Spring 2018 Ages 9 14
ACTIVITY NUMBER: 10501 Department of Parks & Recreation Recreation Division 101 Field Point Road - Greenwich, CT 06836-2540 Phone: (203) 618-7649 Email: Recreation@greenwichct.org Girls Softball Spring
More information2019 University of Delaware High Performance Figure Skating Center Summer Skating School Application Form
2019 University of Delaware High Performance Figure Skating Center Summer Skating School Application Form Weekly Summer Ice & Housing Package Contract (23 June 2019 26 July 2019) Application will not be
More informationLOWER LOUDOUN BOYS FOOTBALL P.O. BOX 163 STERLING, VA 20167
LOWER LOUDOUN BOYS FOOTBALL P.O. BOX 163 STERLING, VA 20167 Dear Parents: Welcome to the 2017 season of Lower Loudoun Boys Football. In order for our program to be successful we require the support of
More informationBowdoin College Skating School Class Outline and Important Information
Bowdoin College Skating School Class Outline and Important Information 2010 2011 The Bowdoin College Skating School offers the Basic Skills Program designed by United States Figure Skating (USFS) for participants
More informationALL STAR CHEERLEADING OVERVIEW
United Elite (UE) welcomes you to our Program! Our objective is to develop each athlete physically, mentally and emotionally to ensure they will achieve success on and off the competition floor. Our athletes
More informationCantiague Figure Skating Club MOVES/FREESTYLE TEST APPLICATION
Cantiague Figure Skating Club MOVES/FREESTYLE TEST APPLICATION www.cfscskatingclub.org Check one below. NO REFUNDS will be made after the schedule is final. Test schedules will be sent by e-mail. HOME
More informationGirls Softball Spring 2019 Ages 9 14
ACTIVITY NUMBER: 10501 Department of Parks & Recreation Recreation Division 101 Field Point Road - Greenwich, CT 06836-2540 Phone: 203-618-7649 Email: Recreation@greenwichct.org Girls Softball Spring 2019
More informationPLEASE COMPLETE ALL SECTIONS (To ensure accurate recording, please type or print clearly.)
Official Entry/Description Form Horses 2018 Iowa State Fair Parade Nothing Compares to State Fair Moments Wednesday, August 8th ~ 6:15 p.m. ~ Downtown Des Moines Rules for horse participants in the Iowa
More informationSwim Team Registration Packet Summer For more information or to contact us or visit our website at hooveralabama.gov/parksandrecreation
Swim Team Registration Packet Summer 2017 For more information or to contact us or visit our website at hooveralabama.gov/parksandrecreation 1 Hoover Parks & Recreation Hoover Hurricanes Swim Team 2017
More information2018 New Vocations All-Thoroughbred Charity Show & T.I.P. Championships
ALL ENTRIES MUST BE POSTMARKED BY AUGUST 15. NO EXCEPTIONS! PERSON PAYING THE BILL BACK NUMBER HORSE S SHOW NAME AGE SEX HORSE S TIP NUMBER #3000 (REQUIRED) see www.tjctip.com HORSE S REGISTERED NAME Retired
More information2016 POLARIS ATV and ACE NEW RACER REIMBURSEMENT PROGRAM
2016 POLARIS ATV and ACE NEW RACER REIMBURSEMENT PROGRAM Thank you for your interest in racing Polaris ATVs and ACE. This program was created to provide first-time racers the ability to collect a Reimbursement
More informationTennessee Wildlife Federation s 2019 Youth Hunt. Hold Harmless & Release Agreement
Tennessee Wildlife Federation s 2019 Youth Hunt Hold Harmless & Release Agreement In consideration of being permitted to participate in the Tennessee Wildlife Federation s Youth Hunt (the Youth Hunt ),
More informationDESCRIBE ANY MEDICAL PROBLEMS OR INJURIES
TRYOUT & EVALUATIONS APPLICATION ATHLETE S FIRST NAME STREET ADDRESS LAST NAME CITY, STATE, AND ZIP BIRTH DATE AGE AS OF AUGUST 31, 2017 GRADE IN SCHOOL PHONE EMAIL Do you want to be accepted to a(n):
More informationPayment amount until June 4th. Payment amount after June 4th First child $115 per swimmer $125 per swimmer Additional child(ren)
Caroline Orcas Swim Team INTRODUCTION: The Caroline Orcas Swim Team is a member of the Rappahannock Swim League (RSL), a summer recreational swim league (http://www.rslswimming.com). Approximately 2,500
More informationWaiver of Liability, Release Assumption of Risk & Indemnity Agreement
Waiver of Liability, Release Assumption of Risk & Indemnity Agreement It is the purpose of this agreement to exempt, waive and relieve releasees from liability for personal injury, property damage, and
More informationHome: (808) TAXES $0.00 $0.00 RESERVATIONS
Waipio Peninsula Soccer Park c/o District V Office 93-061 Waipio Point Access Road Waipahu, HI 96797 (808) 678-0593 THIS IS NOT A PERMIT AYSO Region 769 94-104 Kolea Pl. Waipahu, HI 96797 Customer Type:
More informationSTINGRAY ALLSTAR PREP REGISTRATION PACKET
STINGRAY ALLSTAR PREP 2017-2018 REGISTRATION PACKET Allstar Prep Program: Congratulations on choosing to become a part of the biggest and most successful Allstar gym in the country! We are delighted to
More informationTown of Oakfield 2019 Youth Swimming Program
Town of Oakfield 2019 Youth Swimming Program The Town of Oakfield Youth Recreation Commission will begin offering a Youth Swimming Program at the Oakfield-Alabama Middle High School Pool. This 2019 program
More information2005 POLARIS ATV CONTINGENCY PROGRAM
2005 POLARIS ATV CONTINGENCY PROGRAM Welcome to the Polaris ATV Contingency Program. For 2005 Polaris is offering an industry leading contingency program for all adult and youth GNCC classes. This program
More information