WEST WINDSOR DIVISION OF RECREATION AND PARKS REGISTRATION FORM

2008 WEST WINDSOR DIVISION OF RECREATION AND PARKS
REGISTRATION FORM

PLEASE NOTE: Recreation Camp, Intermediate Camp, Travel Camp and Tennis Lessons require
specific registration forms. These forms are available at the Recreation Office or online at www.wwparks-recreation.com. DO NOT USE THIS FORM FOR THE ABOVE PROGRAMS.

(Registration begins March 3rd - In person or mail in)

Name of Registrant__________________________________________________________________

Street Address_____________________________________________________________________

City_________________________________ State_____________ Zip________________

Phone Number_________________________________ _________________________________
HOME WORK

Parent's Cell Phone Number___________________________________________________________

Emergency Contact Name & Phone_____________________________________________________

Email Address______________________________________________________________________

Birthdate_____/______/______ Age__________ Grade as of 9/2008______ Male____ Female____

Name of Parent(s)___________________________________________________________________

__________________________________ - _____________________ - _________________________
NAME OF PROGRAM SESSION TIME/DAYS

I __________________________ realize there is a risk of being injured that is inherent in all sports. I
   (participant/parent if under 18)
realize the risk of injury may be severe, including the risk of fractures, brain injuries, or even death. I also understand the NO REFUNDS WILL BE ISSUED, unless the Division of Recreation and Parks cancels the program. I understand this and wish (my child) to participate in the above programs. I agree to hold the West Windsor Recreation Commission and their employees harmless from all risk, liability, injury, damage and loss to all persons resulting from participating in the above program(s).

_____________________________________  ________________
   (participant/parent if under 18)                                                 DATE

Please complete one registration form per person. This form may be duplicated or additional forms may be obtained at the Recreation Office, located in the Municipal Building, Clarksville and North Post Roads, West Windsor. Payment must accompany the registration form.

To register by mail, print & then complete this form and send a check made payable to "West Windsor Recreation" and mail to West Windsor Recreation P.O. Box 38 West Windsor, NJ 08550