WEST WINDSOR DIVISION OF RECREATION AND PARKS REGISTRATION FORM

2010 WEST WINDSOR DIVISION OF RECREATION AND PARKS
SPRING/SUMMER REGISTRATION FORM

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

Name of Registrant_________________________________________________________________________________

Street Address____________________________________________________________________________________

City________________________________________________________ State_____________ Zip________________

Phone Number____________________________________________________________________________________
HOME CELL WORK

EMAIL Address: __________________________________________________________________________________

Emergency Contact Name _________________________________ Phone __________________________________

Nature Of Participant’s Disability_____________________________________________________________________

Birthdate_____/______/______ Age__________ Grade as of 9/2010______ Male____ Female____

Name of Parent(s)__________________________________________________ T-Shirt Size____________________
(If Applicable)

____________________________________ - ________________________ - ______________________________
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

ONLINE REGISTRATION NOW AVAILABLE. Visit our website at www.wwparks-recreation.com for details. Please complete one registration form per program per person. This form may be duplicated. Payment must accompany the registration form.

To register by mail, complete this registration form and send a check made payable to West Windsor Division of Recreation and Parks. Mail to the following address: West Windsor Division of Recreation and Parks, P.O. Box 38, Princeton Junction, NJ 08550