STANFORD RECREATION PARK REGISTRATION
2019 Registration Form
All fees will be collected at the time of park opening, at which time you will receive your key tags for the season. Swim lesson registrations will have a separate form and will also be collected upon park opening. Fall soccer registration forms will be available at the Rec when we open. If you have any questions, please contact townofstanfordrec@gmail.com

Registration Fees are as follows:

RESIDENT: Family: $40 - Couple: $30 - Individual: $25
Swim Lessons: $25/child
Swim Team: $25/child
Soccer: $40/child
PPCSD RESIDENT: Family: $100 - Couple: $80 - Individual: $50
Swim Lessons: $30/child
Swim Team: $30/child
Soccer: $40/child
NON - RESIDENT: Family: $200 - Couple: $120 - Individual: $70
Swim Lessons: $40/child
Swim Team: $30/child
Soccer: $40/child

Swim Lessons Registration Form: https://forms.gle/unnC3ZfSAzvNFVHU8
Swim Team Registration Form: https://forms.gle/FSZK3GmPwk7GivN88

Last Name *
Your answer
First Names of Adult Family Members *
Your answer
Address *
*Please include town
Your answer
Home Phone
Your answer
Cell Phone/Emergency Phone *
Your answer
Email Address
We will only use your email address for Rec related information like closings or swim lessons.
Your answer
Children
Please list last name if different than above. Please also include age.
Your answer
NOTE: Children under the age of twelve must be supervised by a responsible party aged 16 or older. If your child/children will be supervised by someone other than the parent(s) listed above, please name them here and provide your daytime phone number
Your answer
Please list any medical information or special needs regarding your children such as seizure disorder, diabetes, allergies, learning disability, vision or hearing loss, emotional problems or any other condition you would like us to be aware of. Please note, staff is not permitted to give medications to your child.
Your answer
I agree to abide by the Stanford Recreation rules and regulations. Copies of the rules and regulations can be found on the Town website or at the Rec. I understand that the summer program is not a camp and that staff is not responsible for supervising my child/children. I will provide adequate supervision of my child/children within the guidelines stated above. I authorize Stanford Recreation staff to provide minor and/or emergency treatment for my child in the case of illness or injury. Emergency first aid treatment will be given with my consent or under implied consent if I am not present. Emergency responders will be called if warranted in the opinion of the attending staffs. I assume financial responsibility for any medical services required. By typing your name and date on the line, you are agreeing to the above terms. *
Your answer
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