Fort Parks & Recreation Registration Form
30 N. Water St.
West Fort Atkinson,
WI 53538
Participant Last Name: ___________________________ Address: ________________________________
Telephone Number: _____________________________ E-Mail Address (optional)
Grade________Age:_________ Date of Birth
(all participants):____________
School
Gender: Male/Female (circle one)
YS=Youth Small YM=Youth Medium YL=Youth
Large AS=Adult Small
AM=Adult Medium AL=Adult Large
AFTER SCHOOL
PLAYGROUP (Grades 1-5th) Monday's
Mar. 1, Mar. 8, Mar. 15, Mar. 22
$15 ($20 after
Feb. 22)
First Name:
Time:
3:30 - 5:00 pm
START SMART
BASEBALL (Ages
3 4-5) Wednesday's - Mar. 3, Mar. 10, Mar. 17, Mar. 24
$16 ($20 after Feb. 26)
First Name:
Session 1: 11:15-Noon
First Name:
Session 2: 4:00- 4:45 pm
START SMART
GOLF (Ages
5-6-7) Wednesday's/Friday's - April 7, April 9, April 14, April 16
$16 ($20 after
March 26)
First Name:
(4:00- 4:45 pm)
SUPREME DODGE BALL
(Grade 4-8) Saturday's -Apr. 10
- May 10
$15 ($20 after March 26)
First Name:
Session 1: 9-10am (Grades 4-6)
First Name:
Session 2: 10-11am (Grades 4-8)
SPRING TRAINING BASEBALL
(Grades 5K-2) Mar. 29, Mar. 30, Mar.
31, April 1
$10
($15 after March 19)
First Name:
Session 1: 11:10-11:45am
(Grades 5K & 1) (1st grade no baseball experience)
First Name:
Session 2: 10:15-11:00am (Grade 1
& 2)
GIRLS SOFTBALL CAMP
(Grades 3-8) Wednesday March 31 (Ralph Park Softball Diamonds)
$15 ($20 after
March 19)
(Rain date: Thurs. April 1)
First Name:
12:30-3:00 p.m.
First Name:
12:30-3:00 p.m.
PLAY BALL (Grades 4-8) Mar. 29, Mar.
30, Mar. 31, April 1
$10 ($15 after
March 19)
First Name:
(12:00- 1:00 pm)
First Name:
(12:00- 1:00 pm)
BOYS VOLLEYBALL 101
(Grades 6-7-8) (April 12-May
10)
$20 ($25 after
March 26)
First Name:
(5:30-6:30pm)
First Name:
(5:30-6:30pm)
REGISTRATION
FORM TOTAL = $ ____________