Fort Parks & Recreation Registration Form
30 N. Water St. West          Fort Atkinson, WI  53538

Participant Last Name: ___________________________  Address: ____________________________________

Telephone Number: _____________________________  E-Mail Address (optional) _____________________

Baseball - $20 or $12
First Name: ______________ T-Ball              Session  1   2   3   4   5   6   (Circle One) T-Shirt Size: _____    
First Name:______________  Coach Pitch    Session  1   2   3   4   5   6   7   8   (Circle One) T-Shirt Size:_____  

Swimming Lessons - $19 without pool pass - $17 with pool pass
First Name:                         Group Lessons     Session     1     2     3     4     5    (Circle One)  Time__________ 
First Name:                         Group Lessons     Session     1     2     3     4     5    (Circle One)  Time__________  
First Name:                         Group Lessons     Session     1     2     3     4     5     (Circle One) Time__________         

First Name:                         Diving Lessons 
First Name:                         Parent / Tot Lessons     Session     2     3     4     (Circle One) @ $14 or $12

Tennis - $16
First Name:                         Youth Lessons          Session     1     2     (Circle One) Time ____________
First Name:                         Youth Lessons          Session     1     2     (Circle One) Time ____________        
First Name:                         Friday Youth League @ $7

Shotokan Karate - $50
    Please fill out form at the Parks and Recreation Office.  Class size may be limited.
                                              
Girls Softball - $25
First Name:                         Grade Currently In_________  (if space available)

Volleyball
First Name:                         Girls Volleyball Camp          Entering Gr. 4-5-6 (Circle One) T-Shirt Size: ___    $25
                                         Girls Volleyball Camp          Entering Gr. 7-8-9 (Circle One) T-Shirt Size: ___    $35

Youth Center - $5
First Name:                         Summer Pass Only (Good through final day of summer vacation) Grade:____ 

Youth - Other Programs
First Name:                        Warhawk Basketball Camp Grades 5-8   (Shirt Size ______)    $50
                                        Warhawk Basketball Camp Grades 1-4   (Shirt Size ______)    $35

First Name                          Kickball     Grades 4-8    (Shirt Size ______)    $25

Adult - Other Programs
First Name                           Fit With Fran (Body $40 - Cardio $53 - Both $73) 8 weeks sessions 
First Name                           Tennis - Adult Monday Evening Lessons $16
First Name                           Shotokan Self-Defense Karate  $50


                                                  

     AQUATIC  CENTER  SEASON  PASS  REGISTRATION
Adult Names (if getting passes) ________________________ & ____________________________
Children's Names: 1.____________________     Age: __________     Family Pass - City of Fort Taxpayer @ $70
                              2.____________________     Age: __________     Family Pass - Non City Fort Taxpayer @ $100
                              3.____________________     Age: __________     (Early Bird: $60 or $90 if purchased by 
                                                                                                                  May 15) 
                              4.____________________     Age: __________   Individual Pass - City of Fort Taxpayer@ $30  
Address or Phone Number Change                                            Individual Pass - Non City Fort Taxpayer @ $40  
     

 Make Checks Payable To: CITY OF FORT      REGISTRATION FORM TOTAL = $ ____________