2017 SUMMER RECREATION SIGN-UP FORM
2017 SUMMER RECREATION SIGN-UP FORM Forms due by Friday, April 28 – Return to Akron Town Hall MAKE ALL CHECKS PAYABLE TO THE TOWN OF AKRON Participant Name _______________________________________________ Age _____ Birthdate _________ Parent Name_________________________Parent Phone _________________ Grade Just Completed ____
With the exception of GOLF, all activities will be 1st Child - $30.00 2nd Child - $25.00 rd 3 Child & any additional- $20.00 TEE BALL Age 4 by June 1, 2017 ~ Grade 1______ CHILD’S SHIRT SIZE: Youth Size S M L Adult Size S M L
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ COACH-PITCH BASEBALL Grades 2-3______ CHILD’S SHIRT SIZE: Youth Size S M L
Adult Size S M L
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ TRAVEL TEAM BASEBALL Age 9-10_____
Age 11-12_____
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ GIRLS SOFTBALL Contact Mr. Randy Arnold or Mrs. Meghan Camacho at the Akron School to get the form. The above fees apply. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ GOLF: $10/participant Age 7-18 ______ You will be contacted directly prior to the start of the golf program, after baseball is done. Program runs for one week, Monday – Friday. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other area summer programs which may be offered for youth: Summer Reading Program: 345-6818 Swimming: 345-2767
Waiver of Liability I, ______________________________, do hereby declare that I understand that any recreational activity contains certain inherent dangers and risks for injury. Understanding this, I relieve the Town of Akron and its employees from any liability for accidents or injury that may occur while my child is participating in programs operated by the Town of Akron’s Recreation Department. ________________________________ Parent’s Signature
CHECK FOR COACHING Coaches and Sponsors Needed CHECK FOR SPONSOR Please indicate your interest in the space below. We will contact you to confirm. Name Phone Number
With the exception of GOLF, all activities will be 1st Child - $30.00 2nd Child - $25.00 rd 3 Child & any additional- $20.00 TEE BALL Age 4 by June 1, 2017 ~ Grade 1______ CHILD’S SHIRT SIZE: Youth Size S M L Adult Size S M L
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ COACH-PITCH BASEBALL Grades 2-3______ CHILD’S SHIRT SIZE: Youth Size S M L
Adult Size S M L
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ TRAVEL TEAM BASEBALL Age 9-10_____
Age 11-12_____
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ GIRLS SOFTBALL Contact Mr. Randy Arnold or Mrs. Meghan Camacho at the Akron School to get the form. The above fees apply. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ GOLF: $10/participant Age 7-18 ______ You will be contacted directly prior to the start of the golf program, after baseball is done. Program runs for one week, Monday – Friday. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other area summer programs which may be offered for youth: Summer Reading Program: 345-6818 Swimming: 345-2767
Waiver of Liability I, ______________________________, do hereby declare that I understand that any recreational activity contains certain inherent dangers and risks for injury. Understanding this, I relieve the Town of Akron and its employees from any liability for accidents or injury that may occur while my child is participating in programs operated by the Town of Akron’s Recreation Department. ________________________________ Parent’s Signature
CHECK FOR COACHING Coaches and Sponsors Needed CHECK FOR SPONSOR Please indicate your interest in the space below. We will contact you to confirm. Name Phone Number
