WRAP-UP MESSAGE FROM THE PRINCIPAL MOHEGAN ELEMENTARY SCHOOL

Size: px
Start display at page:

Download "WRAP-UP MESSAGE FROM THE PRINCIPAL MOHEGAN ELEMENTARY SCHOOL"

Transcription

1 June 16, 2017 MOHEGAN ELEMENTARY SCHOOL WRAP-UP Mr. William G. Klinefelter, Principal MESSAGE FROM THE PRINCIPAL We had a fantastic year and I hope you have a wonderful and safe summer. This year the report cards will look different because they will not include your child s new teacher. You will receive a letter in early August letting you know who your child s teacher will be. We look forward to seeing everyone in August. Until then, enjoy the summer break. MOHEGAN PTO CORNER Watch for important dates for upcoming events. Without your help, these events would not be successful! Please consider participating in fundraisers and events to support our school. If you would like to volunteer for an event, please contact us at our PTO address: moheganschoolpto@hotmail.com. Like us on Facebook@ Mohegan School PTO Montville CT. UPCOMING EVENTS: EDUCATION BOX TOPS CONTEST-Please start collecting those Education Box tops! The next Box top collection will take place next year. Start collecting now! There will be a winner for each grade level. Each winner will receive a $10 coupon for Sweet Frog. We earn 10 cents for each box top collected! Please make sure they have not expired before sending them into your child s classroom teacher. Label the bag or envelope with your child s name, grade, and classroom teacher. Thank you!! Next week s lunch menu: Monday Tuesday Wednesday Thursday Friday ENJOY THE SUMMER BREAK!

2 News from Mrs.Hankard/Library Media The Reading Garden is located in the Mohegan courtyard. It was created with funds from a Lowe s grant and a Mohegan walk-a-thon. Students can use the Little Library which has free books for students to enjoy. They can take one or donate one. We hope to have another fundraiser to buy benches. Book donations can be brought to the library or put in the Little Library. Happy Birthday to the following students: Happy birthday to all our summer birthday students!!

3 Golden Paw Celebrations Look at Where WE Are!! Look for your class here. As you earn your paws and wolves, your class will be listed here. Whose class will earn the most paws?!! 1 Paw: Mrs. Roncone, Mrs. Bryer 2 Paws: Mrs. Mitchell 3 Paws: Miss Montalvo, Mr. D Amato, Mr. Larson, Mrs. Dussault 1 Wolf: Mrs. Levin, Mrs. Rigdon, Mrs. Halloran, Mrs. Gustavsen 5 Paws: Mrs. McCarney, Mrs. Carroll 6 Paws: Mrs. Shugrue 7 Paws: 2 Wolves: Mrs. Papuga 9 Paws: Mrs. Johnson 10 Paws: 11 Paws: 3 Wolves: Mrs. Driscoll 13 Paws: 14 Paws: 15 Paws: 4 Wolves: 17 Paws: 18 Paws: Mrs. Naylor *Key: 1 paw equals 100 paw tickets awarded for respecting self, others, school, and making safe choices. Wolf equals 4 paws.

4 MONTVILLE JUNE 22, 23, 24, 25 FREE ADMISSION FREE PARKING. Brought to you by Montville Parks & Recreation And Rockwell Amusements Montville Community Center ( formally Fair Oaks) 836 Old Colchester Rd. Oakdale SCHEDULE Thursday and Friday 5 pm 10 pm $2 for all rides Saturday 12 pm 10 pm $1.00 per ticket, 25 tickets for $20.00 save $5.00 or 40 tickets for $30.00 save $10.00 (best buy) rides take tickets. Sunday 12 pm 8 pm $25 unlimited rides bracelet Fireworks Saturday night.

5 Montville Parks & Recrea on Department 310 Norwich- New London Tpke. Uncasville, CT Phone (860) Ext. 780 Fax (860) First Name MI Last Name Date of Birth Male Female Address Address City State Zip Code Home Phone Cell Phone Other Program Name Summer Basketball Clinic Code # S Cost $ Free School Grade (Fall 2017) Time Day (s) *T-shirt Size (If Applicable) Comments Release and Waiver of Liability, Assump on of Risk and Indemnity Agreement, In considera on of par cipa ng In the Montville Parks & Recrea on Ac vi es. I, represent (Parent/Legal Guardian, Please Print) (Par cipant Name) and understand the nature of the Ac vity and that I he/she am/is qualified, in good health and in proper physical condi on to par cipate in such Ac vity. I acknowledge that if I believe event condi ons are unsafe I will immediately discon nue par cipa on in the Ac vity. I fully understand that certain Ac vity involves risk of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own ac ons, or inac ons, those of others par cipa ng in the event, the condi ons in which the event takes place, or the negligence of the releasees named below; and that there may be other risks either not known to me or not readily foreseeable at this me; and I fully accept and assume all such risks and all responsibility for losses, cost and damages I incur as a result of my par cipa on in the Ac vity. I hereby release, discharge and covenant not to sue the Town of Montville and its respec ve administrators, directors, agents, officers, volunteers, employees, other par cipants, any sponsors, adver sers, and if applicable owners and lessors of premises on which the Ac vity takes place (each considered one of the RELEASEES herein) from all liability, claims, demands, losses or damages on my account caused or alleged to be caused in whole or in part by the negligence of the releasees or otherwise, including negligent rescue opera ons and future agree that if, despite this release, waiver of liability and assump on of risk I, or anyone on my behalf makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any loss, liability, damage or cost, which may incur as the result of such claim. I have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, understand that I have given up substan al rights by signing it and have signed it freely and without inducement or assurance of any nature and intend it to be a complete and uncondi onal release of all liability to the greatest extent allowed by law and agree that if any por on of this agreement is held to be invalid the balance, notwithstanding, shall con nue in full force and effect. Parent/Legal Guardian Signature Date As this is an outdoor event, we are at the mercy of the weather. We will do our best to provide as much lead time as possible when it is necessary to cancel a session.

6 This clinic is for developing basketball skills and improving ability. We expect everyone to be a positive role model for all participants. Participants will treat other players, coaches, officials and spectators with respect regardless of race, creed, color, sex or ability. Sportsmanship is showing respect, courtesy, and demonstrating positive support for everyone. Please refrain from coaching your child or other players during the clinics. Encourage your child to work on their skills at home. Most importantly, have fun!!!

CAPITAL BADMINTON ACADEMY.

CAPITAL BADMINTON ACADEMY. CAPITAL BADMINTON ACADEMY www.capitalbadmintonacademy.com ABOUT US Welcome to Capital Badminton Academy! We re a badminton academy based in DMV (DC, Maryland and Virginia) and we train domestic and regional

More information

MIAMI ROWING & WATERSPORTS CENTER, INC Membership (6 pages) Application For:

MIAMI ROWING & WATERSPORTS CENTER, INC Membership (6 pages) Application For: MIAMI ROWING & WATERSPORTS CENTER, INC. 2017 Membership (6 pages) Application For: FAMILY MEMBERSHIP: Initiation Fee: $500.00 Monthly Dues: $110.00 Annual Due $1320.00 Equipment Fund Monthly Due $15.00

More information

Registration Form. Mother s/guardian Name: LAST FIRST INITIAL Address: Home Phone: City: State: Zip: Cell Phone:

Registration Form. Mother s/guardian Name: LAST FIRST INITIAL Address: Home Phone: City: State: Zip: Cell Phone: Registration Form Name: Address: City: State: Zip: School: Grade: Grad Year: GPA: HT: WT: Cell Phone: Email: Size: Shirt: Pants: Helmet: Shoe: Jersey #: (List 3 numbers) Parent/Guardian Information Player

More information

RETAIN THIS SHEET FOR YOUR INFORMATION AND MAIL ENTRY FORM

RETAIN THIS SHEET FOR YOUR INFORMATION AND MAIL ENTRY FORM REVISED 01/20/08 SIXTH ANNUAL AAU TRIPLE CROWN CLASSIC 2008AAU EAST COAST BENCH PRESS CLASSIC 2008 AAU MILITARY NATIONALS FULL POWER 2008 AAU MILITARY NATIONALS BENCH PRESS ENTRY DEADLINE: APRIL 20, 2008

More information

Participant Information (Incomplete information will not be processed) Last Name First Name Male Female Date of Birth: / /

Participant Information (Incomplete information will not be processed) Last Name First Name Male Female Date of Birth: / / 2018 Denver NorthSide TTC FALL CLASSIC TOURNAMENT ENTRY FORM Sponsored by Denver Northside Table Tennis 1-Star Tournament Sanctioned by USATT with $500.00 in Cash and Trophies Saturday, October 13 th,

More information

Participant Information (Incomplete information will not be processed) Last Name First Name Male Female Date of Birth: / /

Participant Information (Incomplete information will not be processed) Last Name First Name Male Female Date of Birth: / / ENTRY FORM Sponsored by Denver Northside Table Tennis 1-Star Tournament Sanctioned by USATT with $ 300 in Cash and Prizes Saturday, March 24 th 2018 www.denvernorthsidett.com or 303-601-3415 Participant

More information

ADULT COACHING APPLICATION

ADULT COACHING APPLICATION - MIAMI ROWING & WATERSPORTS CENTER, Inc. ADULT COACHING APPLICATION -MEMBER HRLY Private lessons where non-members and members can come and row in a one-on-one session tailored to your skill level and

More information

U.S. GOLD GYMNASTICS & CHEER ACADEMY INC.

U.S. GOLD GYMNASTICS & CHEER ACADEMY INC. RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT ( AGREEMENT ) In consideration of participating in all activities at U.S. Gold Gymnastics and Cheer Academy, Inc., I represent

More information

OBSERVED HOLIDAYS No classes

OBSERVED HOLIDAYS No classes 1 114 E Oak Ave Visalia, CA 93291 (559) 627-8277 spacpp@att.net www.spacdance.com @WeTrainDancers Student Enrollment form Please fill out for each student Student Name (First) (Last) Address (Town) (Zip)

More information

Lower Island Fire Departments. Fire Truck Pull Challenge for Muscular Dystrophy. June 18, 2016, 10am to 1pm TEAM KIT

Lower Island Fire Departments. Fire Truck Pull Challenge for Muscular Dystrophy. June 18, 2016, 10am to 1pm TEAM KIT Lower Island Fire Departments Fire Truck Pull Challenge for Muscular Dystrophy June 18, 2016, 10am to 1pm TEAM KIT Are YOU stronger than a FIREFIGHTER? Lower Island Fire Departments Dear Participants:

More information

New Member Renewing Member Transferring previous club name

New Member Renewing Member Transferring previous club name Membership Application 2017-2018 PLEASE USE A SEPARATE FORM FOR EACH MEMBER. Applications are due back in the office when you sign up for ice. *An asterisk indicates a field that is required in order to

More information

Praise His Name in the Dance Psalm 149:3

Praise His Name in the Dance Psalm 149:3 Praise His Name in the Dance Psalm 149:3 Welcome to our studio! The mission of Winchester Christian Ballet, Inc. is to provide the highest quality of classical ballet training, create an atmosphere of

More information

2012 AAU SOUTHWEST DISTRICT QUALIFIER

2012 AAU SOUTHWEST DISTRICT QUALIFIER INFORMATION SHEET Competition Date: SATURDAY, FEBRUARY 11, 2012 Entry Fees: 1 or 2 Individual Events $65.00 3 Events $75.00 CLINICS: Referee Clinic ONLY: $35.00 (coaches must take clinic online!) Friday,

More information

A.A.U. Region 9 Taekwondo Championship March 2, 2013 Butler Sports Complex South Main Houston, Texas INFORMATION SHEET

A.A.U. Region 9 Taekwondo Championship March 2, 2013 Butler Sports Complex South Main Houston, Texas INFORMATION SHEET INFORMATION SHEET Competition Date: SATURDAY, MARCH 2, 2013 Entry Fees: 1 or 2 Individual Events $85.00 3 Events $100.00 CLINICS: Referee Clinic ONLY: $35.00 (coaches must take clinic online!) Friday,

More information

Membership Application

Membership Application Membership Application 2018 2019 PLEASE USE A SEPARATE FORM FOR EACH MEMBER All fields must be completed and all required signatures must be included before application will be processed All fields must

More information

Membership Registration Form

Membership Registration Form Today s Date: Leeward Judo Club Membership Registration Form Primary Dojo Location (Check box): Pearl City Waipahu Student Information: Name (First, MI, Last) Date of Birth Age Sex Male Female Address

More information

MEMBERSHIP CATEGORY (circle one) For current dues please refer to the website Membership page

MEMBERSHIP CATEGORY (circle one) For current dues please refer to the website Membership page Page 1 MEMBERSHIP REGISTRATION RAT ISLAND ROWING AND SCULLING CLUB NAME (print clearly): Date of birth: / / Home phone: ( ) - - Work/Cell: ( ) - - Email: Mailing address (city/ state) (Zip) Today s date:

More information

Registration Form Altius Handcrafted Firearms Biathlon Training Camp July, 2018 West Yellowstone, MT

Registration Form Altius Handcrafted Firearms Biathlon Training Camp July, 2018 West Yellowstone, MT Registration Form Altius Handcrafted Firearms Training Camp Camp registration is open to participants age 14 (2004 birth year) and older. This is a camp for experienced Biathletes who are looking for both

More information

2015 AAU/USA NATIONAL KARATE CHAMPIONSHIPS

2015 AAU/USA NATIONAL KARATE CHAMPIONSHIPS 2015 AAU/USA NATIONAL KARATE CHAMPIONSHIPS CLUB APPLICATION INSTRUCTIONS 1. Any AAU member club may send in a club application, instead of individual entry applications. 2. Please follow all instructions

More information

2016 AAU/USA NATIONAL KARATE CHAMPIONSHIPS CLUB APPLICATION INSTRUCTIONS

2016 AAU/USA NATIONAL KARATE CHAMPIONSHIPS CLUB APPLICATION INSTRUCTIONS 2016 AAU/USA NATIONAL KARATE CHAMPIONSHIPS CLUB APPLICATION INSTRUCTIONS 1. Any AAU member club may send in a club application, instead of individual entry applications. 2. Please follow all instructions

More information

WELCOME TO STANLY COUNTY GYMNASTICS!

WELCOME TO STANLY COUNTY GYMNASTICS! WELCOME TO STANLY COUNTY GYMNASTICS! 1960 Post Rd. Albemarle, NC 28001 Phone: 704-983-2414 Email: stanlycountygymnastics@gmail.com Website: www.stanlycountygymnastics.wildapricot.org Stanly County Gymnastics,

More information

Looking for the Best Day Camp in South Florida? Look no further! CORAL REEF SPORTS CAMP Day Camp

Looking for the Best Day Camp in South Florida? Look no further! CORAL REEF SPORTS CAMP Day Camp Looking for the Best Day Camp in South Florida? Look no further! CORAL REEF SPORTS CAMP 2016-2017 Day Camp Contents Here s To A Great Winter! Theme Weeks Program Fees/Camp Details & Check In and Out Procedures

More information

TEAM KIT. Fire Truck Pull for Muscular Dystrophy Canada. Mission Fire/Rescue Service. September 12, am to 2pm

TEAM KIT. Fire Truck Pull for Muscular Dystrophy Canada. Mission Fire/Rescue Service. September 12, am to 2pm Fire Truck Pull for Muscular Dystrophy Canada September 12, 2015 10am to 2pm TEAM KIT Are your MUSCLES strong enough to pull a Fire Truck? Dear Participants: Mission Firefighters Charitable Society is

More information

PRINTING INSTRUCTIONS

PRINTING INSTRUCTIONS PRINTING INSTRUCTIONS All forms must be printed in COLOR on standard 8.5 x 11 paper. Black and white or illegible copies will NOT be accepted. 1. The MINOR VEST APPLICATION is a one (1) page form. 2. The

More information

Metzlers Gymnastics Training Center NON-COMPETE TEAM REGISTRATION FORM Please Print Clearly

Metzlers Gymnastics Training Center NON-COMPETE TEAM REGISTRATION FORM Please Print Clearly Metzlers Gymnastics Training Center NON-COMPETE TEAM REGISTRATION FORM Please Print Clearly Last Name: Parent s Name: Address: City: State: Zip Code: Home Phone: Cell Phone: E-mail address: Work Phone:

More information

39th Annual BENCH STRICT CURL DEADLIFT APRIL 21, % Raw prior to weigh-ins. $30 for Adults; $15 for athletes 19 & under and Special Olympians.

39th Annual BENCH STRICT CURL DEADLIFT APRIL 21, % Raw prior to weigh-ins. $30 for Adults; $15 for athletes 19 & under and Special Olympians. 39th Annual BENCH STRICT CURL DEADLIFT APRIL 21, 2018 MEET DIRECTOR: Jay Siegel engrave2@verizon.net SCHEDULE: All events take place at the BIGLER YMCA 61 Walker Rd. Bigler, PA 16825 Friday April 20, 2018

More information

THE KANSAS INDOOR ROWING CHAMPIONSHIPS XXIX

THE KANSAS INDOOR ROWING CHAMPIONSHIPS XXIX THE KANSAS INDOOR ROWING CHAMPIONSHIPS XXIX Saturday February 26, 2011 Lyman Elementary School 2032 N. Kansas Ave. Topeka, Kansas 9:00AM to Noon! All races are Finals (with Flights as needed) Events for

More information

Miami Beach Rowing Club 2016 Summer Camp

Miami Beach Rowing Club 2016 Summer Camp Miami Beach Rowing Club s Head Coach Vladimir Matovic and his experienced staff are ready to challenge new and experienced rowers to reach their potential in both sweep and sculling. MBRC s rowing camp

More information

Instructions for Completing Ford DSFL Waivers

Instructions for Completing Ford DSFL Waivers Instructions for Completing Ford DSFL Waivers 1) Print out the four (4) forms attached. (Print in color if possible) 2) All 4 forms must be filled in COMPLETELY. If forms are not completed and signed properly

More information

Camper Information Camper Name: Age: DOB: Address: City: State: Zip: Parent Information Parent/Guardian Name: Home Phone: Cell: Parent s

Camper Information Camper Name: Age: DOB: Address: City: State: Zip: Parent Information Parent/Guardian Name: Home Phone: Cell: Parent s 9744 St. Vincent Ave. Shreveport, La. 71106 Summer Day Camp 2018 Registration Packet We are delighted you have chosen to consider our fun camps this summer! We are looking forward to another great and

More information

2019 Grip it and Rip it Deadlift Contest

2019 Grip it and Rip it Deadlift Contest 2019 Grip it and Rip it Deadlift Contest Sanctioned by R.A.W. United Meet Director: Bill Beekley * beekley220@gmail.com * 813-362-1908 Venue: Stronglife Training Facility/ Crossfit Jaguar * Tampa, Florida

More information

POTOMAC VALLEY AAU REGISTRATION INFORMATION

POTOMAC VALLEY AAU REGISTRATION INFORMATION POTOMAC VALLEY AAU REGISTRATION INFORMATION Please ensure ALL documents are completed as indicated and placed in a large 9x12 envelope. Note: Rules requiring Government issued ID are in effect. Do not

More information

Athlete C hecklist. Step 1: Step 2: Step 3: Step 4: CONTACT INFORMATION:

Athlete C hecklist. Step 1: Step 2: Step 3: Step 4: CONTACT INFORMATION: Athlete C hecklist Step 1: Complete the ATHLETE REGISTRATION forms including: ATHLETE INFORMATION ATHLETE RELEASE & WAIVER OF LIABILITY & ACCIDENT AGREEMENT PAYMENT AGREEMENT Step 2: Return forms with

More information

Karen McCallum. Volunteer- Counselor in Training Applications. Spring Dear Counselor in Training Applicant:

Karen McCallum. Volunteer- Counselor in Training Applications. Spring Dear Counselor in Training Applicant: Volunteer- Counselor in Training Applications Spring 2018 Dear Counselor in Training Applicant: Boardman Park Adventure Day Camp Program prides itself on its reputation for quality and service. This recognition

More information

Lake Washington Rowing Club

Lake Washington Rowing Club Lake Washington Rowing Club 2018 Junior Rowing Program Participant Information Form Participant Information (all fields must be filled out),, Last Name First Name Today s Date Mailing Address Birthdate

More information

SCCA Rally/Solo Release and Waiver Guidelines

SCCA Rally/Solo Release and Waiver Guidelines RISK MANAGEMENT I. Introduction SCCA Rally/Solo Release and Waiver Guidelines These guidelines are intended to provide basic information regarding release and waiver procedures for ALL non-club or SCCA

More information

Terms and Conditions for 5aside.org

Terms and Conditions for 5aside.org Terms and Conditions for 5aside.org For more information on any of the below, please contact info@5aside.org League and playing rules are available separately through our website. Definitions These definitions

More information

Cheer Tumbling Registration Form. (Please complete all fields and understand all information stated below) Student Information

Cheer Tumbling Registration Form. (Please complete all fields and understand all information stated below) Student Information Signature of Parent/or Legal Guardian Cheer Tumbling Registration Form (Please complete all fields and understand all information stated below) How did you hear about us? Referral Name: Student Information

More information

Before and After School Care

Before and After School Care Before and After School Care BLAIR FAMILY YMCA 2016-2017 School Year Registration Forms To put Christian principles into practice through programs that build a health spirit, mind and body for all. -YMCA

More information

2003 AAU JUNIOR OLYMPIC GAMES DanceSport and Salsa ENTRY INSTRUCTIONS

2003 AAU JUNIOR OLYMPIC GAMES DanceSport and Salsa ENTRY INSTRUCTIONS 2003 AAU JUNIOR OLYMPIC GAMES DanceSport and Salsa INDIVIDUAL ATHLETE ENTRY FORM ENTRY INSTRUCTIONS ENTRY DEADLINE: Received by Tuesday, July 1, 2003. Late entries will not be accepted. Guaranteed overnight

More information

Dear Junior Rower, Coaching Staff: Novice Girls- Jade Nelson Novice Boys- John Kolenda

Dear Junior Rower, Coaching Staff: Novice Girls- Jade Nelson Novice Boys- John Kolenda Dear Junior Rower, We would like to invite you to join the Austin Rowing Club Juniors team for our fall 2016 season! No experience necessary! We are entering our 28 th year and are very excited about the

More information

2015 YOUTH SUMMIT: TOGETHER WE CAN

2015 YOUTH SUMMIT: TOGETHER WE CAN 2015 YOUTH SUMMIT: TOGETHER WE CAN What is Project UNIFY? Project UNIFY is a sports and education program that partners students with and without intellectual disabilities to create a more inclusive school

More information

2009 is the age they MUST compete at. If your athlete is 9 now but will be 10 in April, May, or June, they must compete in the 10 year old division.

2009 is the age they MUST compete at. If your athlete is 9 now but will be 10 in April, May, or June, they must compete in the 10 year old division. MONTANA AAU KARATE DISTRICT CHAMPIONSHIPS 610 Professional Dr., Suite 1 Phone: (406) 994-9194 Tournament Date: Saturday, May 9, 2009 Location: Time: Bozeman Senior High School South Gymnasium 205 N. 11

More information

Ogden Cycle Association Membership Agreement

Ogden Cycle Association Membership Agreement Date: Ogden Cycle Association Membership Agreement Membership Type: (mark all that apply) Single Family Non-Wor king Charter Life Cash / Check # Amount Paid $ Receipt # New Member / Annual Renewal I agree

More information

HAWAII JUDO ACADEMY Building Champions for Success at All Levels in Life

HAWAII JUDO ACADEMY Building Champions for Success at All Levels in Life 10AM 11AM CLASS SCHEDULE Monday Tuesday Wednesday Thursday Friday Saturday Training (Kids &Adult) 10:00-12:00) 12AM 1 PM 4PM Kids Intro 4:30-5:00 5 PM Kids Kids 1 5:00-7:00 5:00-6:10 6 PM Kids 2 6:15-7:25

More information

Release of Liability PLEASE DO NOT CHANGE OR ALTER THE WORDING ON THIS WAIVER WITHOUT PRIOR APPROVAL FROM USROWING.

Release of Liability PLEASE DO NOT CHANGE OR ALTER THE WORDING ON THIS WAIVER WITHOUT PRIOR APPROVAL FROM USROWING. Release of Liability IN CONSIDERATION of being given the opportunity to participate in any USRowing activity, including scheduled, supervised club activities, and registered regattas, during the policy

More information

South Suburban Youth Rugby Club

South Suburban Youth Rugby Club South Suburban Youth Rugby Club Middle School Grades 4-8 High School Fresh-Soph & Varsity Registration for 2016 Spring Season ALL FORMS MUST BE COMPLETED AND TURNED IN AND DUES PAID IN FULL BEFORE A PLAYER

More information

Continuing Education Discovery College Registration Form

Continuing Education Discovery College Registration Form Continuing Education Discovery College Registration Form Select a Campus: LSC-CyFair LSC- LSC- LSC-Tomball LSC-University Park LSC-Creekside Center Legal Name of Child Lone Star College Camper ID (Last)

More information

*AHSEP reserves the right, at its sole discretion, to reject any candidate who does not meet the eligibility requirements as stated herein.

*AHSEP reserves the right, at its sole discretion, to reject any candidate who does not meet the eligibility requirements as stated herein. AHSEP Enrollment Information Hobie Wave 14 Sailing Classes Youth: Thursdays July 27 & August 3 5:30 8:30 Adults: Saturdays July 29 & August 12 1:30-4:30 The 2017 Hobie Wave 14 Sailing Classes will be a

More information

O*H*I*O MASTERS SWIM CLUB (Old Hearts Inspiring Others) CLEVELAND - WEST SIDE Swim Workouts WINTER, 2017

O*H*I*O MASTERS SWIM CLUB (Old Hearts Inspiring Others) CLEVELAND - WEST SIDE Swim Workouts WINTER, 2017 O*H*I*O MASTERS SWIM CLUB (Old Hearts Inspiring Others) CLEVELAND - WEST SIDE Swim Workouts WINTER, 2017 COACHED WORKOUTS for WINTER 2017 - We offer workouts overseen by experienced coaches. All adult

More information

St. Cloud Steelhead Rugby Club Registration Check List 2011 (SCRF01)

St. Cloud Steelhead Rugby Club Registration Check List 2011 (SCRF01) St. Cloud Steelhead Rugby Club Registration Check List 2011 (SCRF01) Please make checks payable to St. Cloud Rugby Steelhead Player Full Name: Shorts Size needed (circle one, shorts are men s sizes): Small

More information

Central Florida Fair Youth Record Book

Central Florida Fair Youth Record Book Circle One Exhibitor Age on September 1, 2017 Date of Birth Rabbit/ Cavy/Sheep Central Florida Fair Youth Record Book Format provided for use with permission of Florida State Fair Exhibitor Name Age Club

More information

Individual waiver Form: Master form included, makes copies as needed. Athletes should sign only where indicated (at ATHELTE S SIGNATURE line).

Individual waiver Form: Master form included, makes copies as needed. Athletes should sign only where indicated (at ATHELTE S SIGNATURE line). POTOMAC VALLEY REGISTRATION CHECK LIST Please double check to make certain that the following documents have been completed as indicated: Rules requiring Government issued ID is in effect. Registration

More information

Phone: Fax:

Phone: Fax: Fusion Elite All Stars: Mailing Address: 401 San Felipe Road, St G (Back row of warehouses) Hollister, CA 95023 2171 Cypress Street Hollister, CA 95023 Phone: 831-801-3343 Fax: 831-401-2015 www.fusioneliteallstars.com

More information

Schedule: When: Saturday, December Time: 9:00-4:00pm Where: Garrett s Sports Complex/Fieldhouse Cost: $60/ per athlete

Schedule: When: Saturday, December Time: 9:00-4:00pm Where: Garrett s Sports Complex/Fieldhouse Cost: $60/ per athlete When: Saturday, December 9. 2017 Time: 9:00-4:00pm Where: Garrett s Sports Complex/Fieldhouse Cost: $60/ per athlete Instructors: SU Coaches & current SU Athletes Schedule: 9:00-9:45 Registration 9:45

More information

ESO GIRLS FASTPITCH SOFTBALL 2017 PLAYER REGISTRATION

ESO GIRLS FASTPITCH SOFTBALL 2017 PLAYER REGISTRATION ESO GIRLS FASTPITCH SOFTBALL 2017 PLAYER REGISTRATION Player Information First Name: Last Name: Address: City, State, Zip: Home Phone: Email: Date Of Birth: School: Grade: Jersey Size: Age Division Select

More information

2012 LWRC Dues and Storage Fees

2012 LWRC Dues and Storage Fees 2012 LWRC Dues and Storage Fees Annual Membership Dues Regular Membership - $710.00 ($648.40 plus 9.5% tax) Family Membership $1065.00 ($972.60 plus 9.5% tax) Staff Membership for coaches & coxswains.

More information

WHAT IS AN ESCAPE ROOM?

WHAT IS AN ESCAPE ROOM? WHAT IS AN ESCAPE ROOM? Escape rooms are experiences for anyone who enjoys hands-on puzzle solving, quick thinking, and interactive games. You and your team are "locked" in one of our themed rooms containing

More information

Hoover High School Invitational Regatta Hoover Reservoir Westerville, Ohio Saturday, April 12, 2003 Hosted by Westerville Crew

Hoover High School Invitational Regatta Hoover Reservoir Westerville, Ohio Saturday, April 12, 2003 Hosted by Westerville Crew Hoover High School Invitational Regatta Hoover Reservoir Westerville, Ohio Saturday, April 12, 2003 Hosted by Westerville Crew COURSE The racecourse is a 1500-meter course on Hoover Reservoir in Westerville,

More information

2019 Membership Packet

2019 Membership Packet 2019 Membership Packet Membership Checklist TASK Get USA Waterski Insurance http://usawaterski.org/pages/join.html You MUST have continuous coverage from February 1 st - October 1 st. No insurance = no

More information

Tennessee Wesleyan University Volleyball Skills Camps

Tennessee Wesleyan University Volleyball Skills Camps Tennessee Wesleyan University Volleyball Skills Camps s: June 2 and June 9, 2018 at James L. Robb Gymnasium (204 E College St, Athens, TN 37303) (1:00pm-6:00pm, check in begins at 12:30pm) Cost: $75 per

More information

ALL DRIVERS MUST COMPLETE INFORMATION BELOW

ALL DRIVERS MUST COMPLETE INFORMATION BELOW Mailing Address: PO Box 322 Lancaster, NY 14086 Phone: 716-759-6818 Website: LancasterNationalSpeedway.com 2018 STOCK CAR REGISTRATION, MEMBERSHIP & NUMBER APPLICATION PLEASE PRINT LEGIBLY ALL DRIVERS

More information

DAY CAMP 2018 REGISTRATION FORM

DAY CAMP 2018 REGISTRATION FORM DAY CAMP 2018 REGISTRATION FORM PARTICIPANT INFORMATION FIRST NAME M.I. LAST NAME D.O.B. GENDER Male Female PARENT / GUARDIAN INFORMATION FIRST NAME M.I. LAST NAME D.O.B. GENDER Male Female STREET ADDRESS

More information

DIVE IN! Speed Demons Swim Team. Fulton Family YMCA 715 W. Broadway Fulton, NY Phone:

DIVE IN! Speed Demons Swim Team. Fulton Family YMCA 715 W. Broadway Fulton, NY Phone: DIVE IN! 2018-2019 Speed Demons Swim Team Fulton Family YMCA 715 W. Broadway Fulton, NY 13069 Phone: 315-598-9622 www.fultonfamilyymca.org 2018-2019 Fulton Speed Demons Registration Participant Name: Date:

More information

Individual Waiver. PUEBLO RANGERS, 5v5 or 3v3 SOCCER LEAGUE AND TOURNAMENT WAIVER AND RELEASE OF LIABILITY

Individual Waiver. PUEBLO RANGERS, 5v5 or 3v3 SOCCER LEAGUE AND TOURNAMENT WAIVER AND RELEASE OF LIABILITY PUEBLO RANGERS Individual Waiver Soccer Club PUEBLO RANGERS, 5v5 or 3v3 SOCCER LEAGUE AND TOURNAMENT WAIVER AND RELEASE OF LIABILITY (MUST BE COMPLETED AND PRESENTED AT LEAST 30 MINUTES PRIOR TO YOUR FIRST

More information

Honey Bee Pageant Application

Honey Bee Pageant Application Honey Bee Pageant Application Applications need to be returned to North Logan City Office, 2076 N 1200 E, or emailed to northloganrec@gmail.com, by March 27, 2017 by 5 pm. (No late applications will be

More information

2018 EAST JEFFERSON YMCA Summer Camp Registration

2018 EAST JEFFERSON YMCA Summer Camp Registration Child s Name: _ Grade: Please Circle One: Member Non-Member I will be signing my camper up for Youth Camp C.I.T. Youth Camp (entering grades K-6 th ) Member: 150/Week Non-Member: 190/Week (30/individual

More information

proudly present: Saturday, August 6

proudly present: Saturday, August 6 proudly present: Saturday, August 6 RULES OF PERFORMANCE SQUAT: The lifter shall face the front of the platform. The bar shall be held horizontally across the shoulders, hands and fingers gripping the

More information

proudly present: Saturday, March 29

proudly present: Saturday, March 29 proudly present: Saturday, March 29 RULES OF PERFORMANCE SQUAT: The lifter shall face the front of the platform. The bar shall be held horizontally across the shoulders, hands and fingers gripping the

More information

HUMBOLDT BAY ROWING ASSOCIATION JUNIORS 2017 SUMMER SEASON

HUMBOLDT BAY ROWING ASSOCIATION JUNIORS 2017 SUMMER SEASON HUMBOLDT BAY ROWING ASSOCIATION JUNIORS 2017 SUMMER SEASON The HBRA Juniors rowing team is an organization of rowers with the focus of training 11-18 year olds to be competitive rowers. Our goal is to

More information

Academy of Ice Carving

Academy of Ice Carving 2014 Registration Reservation Packet Weekday Month Date Note: To prepare for each day of instruction, you will also be provided 3-5 hours of essential drawing (and clay sculpting) activities to practice

More information

Volunteer Application

Volunteer Application Memorial and Museum 62 Battleship Place Camden, New Jersey 08103 Volunteer Application Name: Address:. Telephone: Home ( ) Cell ( ) Email: Area(s) of Interest: Referred by: Please complete the attached

More information

(847)

(847) 2017 Player/ Parent Tryout Information Sheet Thank you for attending Pi Volleyball spring club tryouts. Tryouts will conclude Monday, March 13th; within 1-48 hours of the tryouts conclusion, I will send

More information

Tarrant County College South Campus Generation Hope Student Application

Tarrant County College South Campus Generation Hope Student Application Tarrant County College South Campus Generation Hope Student Application Requirements FOR NEW APPLICANTS: Parental Permission Completed application 1 Essay 2 Teacher Recommendation Copy of last year s report

More information

EWAUNA ROWING CLUB, INC

EWAUNA ROWING CLUB, INC EWAUNA ROWING CLUB, INC MEMBERSHIP INFORMATION/INSTRUCTION FORM CLUB DUES/PAYMENT SCHEDULE: Annual dues are effective for the calendar year (January 1 st through December 31 st). A single payment in the

More information

Dance-Dance/Drill Team

Dance-Dance/Drill Team Dance-Dance/Drill Team Photocopy form as necessary. The signed Athlete Waiver must be submitted with this form. INSTRUCTIONS ENTRY DEADLINE: SEND: Received by Tuesday, July 1, 2003. Late entries will not

More information

LAKE COUNTY ROWING ASSOCIATION LAKE YOUTH CREW REGISTRATION Welcome!

LAKE COUNTY ROWING ASSOCIATION LAKE YOUTH CREW REGISTRATION Welcome! LAKE COUNTY ROWING ASSOCIATION LAKE YOUTH CREW REGISTRATION Welcome! The mission of LCRA Youth Crew is to promote the sport of rowing among Lake County high school teens and create competitive studentathletes

More information

Upper Natoma Rowing Club Junior Member Application (Please print clearly)

Upper Natoma Rowing Club Junior Member Application (Please print clearly) Upper Natoma Rowing Club Junior Member Application (Please print clearly) Name Birth Date Address City State Zip Code Phone Numbers (Home) Athlete (Cell) Athlete E-mail address School Graduation Year USRA

More information

Wisconsin U19-U17 Select Rugby 2010 Information

Wisconsin U19-U17 Select Rugby 2010 Information 2010 Information www.wisconsinrugbyselects.com General Information: The Wisconsin Rugby Football Union is seeking U19 & U17 select level players to represent Wisconsin Union in the Rocky Mountain U19 &

More information

Personal Finance Summer Institute for College Readiness Application Instructions:

Personal Finance Summer Institute for College Readiness Application Instructions: Personal Finance Summer Institute for College Readiness Application Instructions: Complete all fields in the Summer Institute Application (pages 2-6), print, and sign. Please print clearly or type. Make

More information

Subsidized after school slots requires participant to attend the after school program 5 days/week and stay until 5:30PM

Subsidized after school slots requires participant to attend the after school program 5 days/week and stay until 5:30PM Sunnyside Elementary After School Program Registration 2016-2017 School Year SECTION A: PROGRAM SITE AND SCHEDULE School: Sunnyside Elementary After School Program Monday Tuesday Wednesday Thursday Friday

More information

East Lake Girls Lacrosse 2018 Spring Registration Form. Waiver and Release Form:

East Lake Girls Lacrosse 2018 Spring Registration Form. Waiver and Release Form: East Lake Girls Lacrosse 2018 Spring Registration Form Name: Parent Name: Emergency Number: Email: Address: City: ZIP: Phone Number: Grade: Age: Birth date: School: Position: Shirt Size Short Size Registration

More information

D.M.G. Athletics. The Official Indoor/Outdoor Summer Basketball League. Team Registration Packet

D.M.G. Athletics. The Official Indoor/Outdoor Summer Basketball League. Team Registration Packet D.M.G. Athletics Presents The Official Indoor/Outdoor Summer Basketball League Team Registration Packet Questions: Contact Coach Dawne Gittens at 860-929-7692 or via email at dgittens@bgchartford.org Team

More information

2017 Fall Soccer Coed 3-9 Years Old

2017 Fall Soccer Coed 3-9 Years Old Department of Parks & Recreation Recreation Division 101 Field Point Road - Greenwich, CT 06836-2540 Phone: (203) 618-7649; Email: Recreation@greenwichct.org ACTIVITY NUMBER: 30301 2017 Fall Soccer Coed

More information

Session I and Session II Session I: June 5 June 9, Performance June 10th; Hollydale United Methodist Church

Session I and Session II Session I: June 5 June 9, Performance June 10th; Hollydale United Methodist Church th Session I and Session II Session I: June 5 June 9, Performance June 10th; Hollydale United Methodist Church Session II: June 12th - June 16th, Performance June 13th; Music On Wheels Academy Music Camp

More information

MAKE WELLSTON BEAUTIFUL, INC

MAKE WELLSTON BEAUTIFUL, INC MAKE WELLSTON BEAUTIFUL, INC Parks and Recreation Programs REGISTRATION FORM Please submit this form along with your completed Emergency/Release Form and Registration Fee. Make checks payable to Make Wellston

More information

Page 1 MEMBERSHIP REGISTRATION RAT ISLAND ROWING AND SCULLING CLUB

Page 1 MEMBERSHIP REGISTRATION RAT ISLAND ROWING AND SCULLING CLUB Page 1 MEMBERSHIP REGISTRATION RAT ISLAND ROWING AND SCULLING CLUB NAME (print clearly): Date of birth: / / Home phone: ( ) - - Work/Cell: ( ) - - Email: Mailing address (city/state) (Zip) Today s date:

More information

Pocock Rowing Center

Pocock Rowing Center Pocock Rowing Center Office Use QB LGL XL S Code Membership Forms New Member Existing Member Former Member First Name: Last Name: Address: City: St: Zip: Email Address: Cell Phone ( ) Alt Phone: ( ) Gender:

More information

Miss North Logan City Pageant Application

Miss North Logan City Pageant Application Miss North Logan City Pageant Application You re invited to apply for the Miss North Logan City Pageant! Applications need to be returned to North Logan City Office, 2076 N 1200 E, or emailed to northloganrec@gmail.com,

More information

2018 BELLE CHASSE YMCA Summer Camp Registration

2018 BELLE CHASSE YMCA Summer Camp Registration Child s Name: _ Grade Entering: Pre-School (3-4 years old, must be potty trained) Member: 145/Week Non-Member: 185/Week (30/individual or 50/family one time registration fee) Youth Camp (entering grades

More information

Chamber Bed Race Rules & Release of Liability/Registration Form

Chamber Bed Race Rules & Release of Liability/Registration Form Chamber Bed Race Rules & Release of Liability/Registration Form Bed Design Beds must measure at least 3 feet wide by 6 feet long, but no more than 6 feet wide by 8 feet long handles included. (This means

More information

Hot Shots Basketball Contest

Hot Shots Basketball Contest Department of Parks & Recreation Recreation Division P.O. Box 2540 101 Field Point Road - Greenwich, CT 06836-2540 Phone: (203) 618-7649 Email: Recreation@GreenwichCT.org ACTIVITY NUMBER: 41102 Hot Shots

More information

FACILITY RENTAL APPLICATION *Application approval is based on facility availability, staffing demands and event specifics.

FACILITY RENTAL APPLICATION *Application approval is based on facility availability, staffing demands and event specifics. FACILITY RENTAL APPLICATION *Application approval is based on facility availability, staffing demands and event specifics. Name/: Date & Day of Event: Start Time: End Time: *see page 2 for set times available

More information

North Carolina A&T Summer Youth Programs Let the summer fun begin!

North Carolina A&T Summer Youth Programs Let the summer fun begin! North Carolina A&T Summer Youth Programs Let the summer fun begin! The Office of Extended Learning - Continuing Education and Professional Development would like to thank you for selecting North Carolina

More information

2016 Fall Soccer Coed 3-9 Years Old

2016 Fall Soccer Coed 3-9 Years Old Greenwich Parks & Recreation Recreation Division Town Hall 101 Field Point Road - Greenwich, CT 06836-2540 Phone: (203) 618-7649 Fax: (203) 622-6494 ACTIVITY NUMBER: 30301 2016 Fall Soccer Coed 3-9 Years

More information

2017 Clinic Boys 8-12

2017 Clinic Boys 8-12 Department of Parks & Recreation Recreation Division 101 Field Point Road - Greenwich, CT 06836-2540 Phone: (203) 618-7649 Email: Recreation@greenwichct.org 2017 Clinic Boys 8-12 ACTIVITY NUMBER: 30401

More information

EKU Educational Talent Search Program DECEMBER 2018 SPECIAL EVENTS Saturday, December 1, 2018 Lexington Ice Center/ Triangle Park Winter Ice Village Rink 9:00 am Students arrive at EKU Perkins Bldg. for

More information

Please note that there is no liability coverage for wrestling activities held at a home or residential dwelling

Please note that there is no liability coverage for wrestling activities held at a home or residential dwelling Insurance coverage 2017-18 Insurance Information At USA Wrestling, our top priorities are safety and security. That's why we make sure you're covered by General Liability, Accidental Medical Expense, and

More information

Information about membership -

Information about membership - MEMBERSHIP INFORMATION 2018 We are excited about ST. CROIX JOAD and the opportunities that will present themselves to youth archers ages 8-20. ST. CROIX JOAD is one of only a handful USA ARCHERY JOAD clubs

More information

STREET ADDRESS CITY STATE ZIP / / / /

STREET ADDRESS CITY STATE ZIP / / / / Please fill out the registration for completely and return to : YMCA of Northern Michigan 434 East Lake Street, Petoskey, MI 49770 231-348-8393 Fax 231-348-8402 Camper Information CHILD S NAME GENDER Male

More information