09/07/1994 Park Board Packet - Laserfiche WebLink

Home Search

r--------------------------------------------i REGISTRATION FORM -- Lino Lakes Parks and Recreation ! Make checks payable to City of Lino Lakes and mail to Lino Lakes Parks and Recreation,7204 Lake Drive,Lino Lakes,MN 55014. Or use the drop boxes located ! next to the entrances ofthe Lino Lakes Parks and Recreation Office,the community education office at Centennial Elementary School or the Lino Lakes City Hall. For ! more information call the Parks and Recreation Department at 464-5562. (NOTE.Separate check required for each program.) { ! PARTICIPANT PHONE (day) (evening) { ADDRESS CITY ZIP j ! Activity/Course Title Date/Time/Location Fee ! ! Participant's Special Needs: ! ! Parents: Include your last name ifit is different from your child's name: ! ! PARTICIPANT AGREEMENT:I,the participant,in consideration ofmy being permitted to participate in the activity,do hereby agree to hold harmless,the Lino Lakes Parks and Recreation Department,City ! of Lino Lakes,Centennial School District and theiremployees,andthe Centennial School District from any and all liability for any personal injury ordeath whichmay occur from myparticipation in this activity. ! This waiver includes any injuries which may result from the condition ofthe facilities and any improvements hereto. ! Participant/Guardian Date ! ------------------------------------------ I� REGISTRATION FORM -- Lino Lakes Parks and Recreation ! ' Make checks payable to City of Lino Lakes and mail to Lino Lakes Parks and Recreation,7204 Lake Drive,Lino Lakes,MN 55014. Or use the drop boxes located ! next to the entrances ofthe Lino Lakes Parks and Recreation Office,the community education office at Centennial Elementary School or the Lino Lakes City Hall. ! ! For more information call the Parks and Recreation Department at 464-5562. (NOTE:Separate check required for each program) ! ! PARTICIPANT PHONE (dayl (evening) ! ADDRESS CITY ZIP ! Activity/Course Title Date/Time/Location Fee ! ! Participant's Special Needs: ! ! Parents: Include your last name if it is different from your child's name: ! PARTICIPANT AGREEMENT:I,the participant,in consideration ofmy being permitted to participate in the activity,do hereby agree to hold harmless,the Lino Lakes Parks and Recreation Department,City ! ofLino Lakes,Centennial School District and their employees,and the Centennial School District from any and all liability for any personal injury or death which may occur from my participation in&us activity. ! ! This waiver includes any injuries which may result from the condition ofthe facilities and any improvements hereto. ! Participant/Guardian Date { ----------------------------------------- REGISTRATION FORM -- Lino Lakes Parks and Recreation ! Make checks payable to City of Lino Lakes`and mail to Lino Lakes Parks and Recreation,7204 Lake Drive,Lino Lakes,MN 55014. Or use the drop boxes located ! next to the entrances ofthe Lino Lakes Parks and Recreation Office,the community education office at Centennial Elementary School or the Lino Lakes City Hall. For { more information call the Parks and Recreation Department at 464-5562. (NOTE:Separate check required for each program.) ! PARTICIPANT PHONE(day) (evening) ! ADDRESS CITY ZIP ! Activity/Course Title Date/Time/Location Fee ! ! ! ! 1 ! Participant's Special Needs: ' ! Parents: Include your last name if it is different from your child's name: ! ! PARTICIPANT AGREEMENT:1,the participant,in consideration ofmy being permitted to participate in the activity,do hereby agree to hold harmless,the Lino Lakes Parks and Recreation Department, ' City of Lino Lakes,Centennial School District and thew employees,and the Centennial School District from any and all liability for any personal injury or death which may occur from my participation in ! this activity.This waiver includes any injuries which may result from the condition of the facilities and any improvements hereto. ! Participant/Guardian Date { L——————————————————— —————————————————————J 15