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ISLAND PARK SCHOOL DISTRICT DEPARTMENT OF RECREATION 150 TRAFALGAR BLVD. ISLAND PARK, NEW YORK 11558 TEL: 516-434-2605 2018 WINTER YOUTH PROGRAM

ISLAND PARK RECREATION

YOUTH VOLLEYBALL CLINIC Grades 3, 4, 5, 6, 7, 8 Mondays 7:00 p.m. – 8:00 p.m. Lincoln Orens Middle School The Recreation coaches will emphasize the fundamentals of volleyball, including proper technique, physical fitness, teamwork and good sportsmanship. Wear sneakers!

2017 Fall Dates: October 16, 23, 30 November 6, 13, 20, 27 December 4

Fee: Resident: $75/8 sessions Non Resident: $95/8 sessions

==================================================================== 2017 FALL YOUTH VOLLEYBALL PROGRAM for GRADES 3, 4, 5, 6, 7, 8 REGISTRATION FORM Either mail to the above address or drop off payment at the Recreation Office. Registrations must be received at least one week prior to the start of the program. Checks payable to the Island Park Recreation Department. If paying cash, please have the exact amount. The office cannot provide change. Credit cards are also accepted. VISA/MASTERCARD ONLY. Once program begins, there are no refunds. Any questions, call the Rec office at 434-2605. My child (print name) _________________________________has my permission to participate in the 2017 Fall Volleyball Program for Grades 3, 4, 5, 6, 7, 8 offered by the Island Park School District Department of Recreation. Child’s Grade: _____ Address/Town/Zip:________________________________________________________________ Signature of parent/guardian: __________________________________________Cell Number: ___________________

FOR RECREATION STAFF ONLY

FEE PAID: ___CASH: ___CREDIT CARD: ___CHECK NUMBER: ___________RECEIPT NUMBER: __________