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REGISTRATION FORM - WINDSOR RECREATION DEPARTMENT
Parent's
Name:______________________________________________________
Home Address: ____________________________________________________
Phone - Home:_____________Work: _______________Emer. No.:___________
| Participants Name | Grade | M/F | Program | Fee Paid |
| __________________ | _____ | ___ | ______________ | _______ |
| __________________ | _____ | ___ | ______________ | _______ |
| __________________ | _____ | ___ | ______________ | _______ |
| __________________ | _____ | ___ | ______________ | _______ |
In consideration of accepting this entry, I hereby, myself, my child, my heirs, executors and administrators, waiver and release any and all claims for damages my child or I may have against the above Recreation Department, or Town of Windsor.
Parent's/Guardian's Signature:____________________________Date:________