Fort Parks & Recreation Registration Form
Fort Parks & Recreation Registration Form
LAST NAME :
_______________________ ADDRESS: _________________________
TELEPHONE NUMBER:
________________________ E-MAIL ADDRESS: _______________________
GRADE:_____________AGE:__________
SCHOOL:
DATE OF BIRTH (all participants):______________________
YS=Youth Small
YM=Youth Med YL=Youth Lrg AS=Adult
Small AM=Adult Med
AL=Adult Lrg
JUNIOR SMALL FRY BASKETBALL ( GRADES 1)
First Name: TIME: Session 1: 9:30-10:30 am @ $
20.00
Session 2: 10:30-11:30 am
MINI DUNKERS BASKETBALL ( GRADES 5-K)
First Name: Jan 7,14,21
Session 1: 8:30-9:30 am @ $
15.00
Jan 28, Feb 4, 11 Session 2:
8:30-9:30 am
START SMART SOCCER AGES 3-4-5
First Name:
Session 1: 11:15-Noon @ $
16.00
Session 2:
4:00-4:45 p.m.
START SMART SOCCER AGES 3-4-5
First Name:
Session 1: 11:15-Noon @ $
16.00
Session 2:
4:00-4:45 p.m.
INDOOR
SOCCER GRADES 5K-3)
First Name:
Grade 2-3 (Afternoon time slots) @ $
20.00
Grade 5K-1 (Morning time slots)
SCHOOL WINTER BREAK ACTIVITIES (DEC. 27- DEC.30)
INDOOR TENNIS (GRADES 5K-5)
First Name:
Session 1: 11:00-11:45 a.m. @ $
10.00
Session 2:
10:15-11:00 a.m.
NINTENDO Wii/XBOX KINECT TOURNAMENT (GRADES 3-5)
First Name:
Session 1: 9:15-10:15 a.m. @ $
5.00