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Youth Shirt Sizes: (leagues & summer camps) YS (6/8) YM (10/12) YL (14/16) AS AM AL Participant’s Name: ____________________________________ Gender: _________ Date of Birth: __________________ Address: ______________________________________City: __________________________ Zip: __________________ Day Phone: ______________________ Cell Phone: _____________________ Evening Phone: _____________________ School: _____________________ Email: _____________________________ Grade in 2014-2015 School Year: _______ Please make check payable to the City of Arden Hills. Totals: _________________ Refund Policy: No refunds are made except when a class is cancelled or when registration is withdrawn before class deadline. Partial cre dit will be con- sidered if cancellation is due to injury or serious illness. Refunds will be issued in the form of a credit voucher. The registrant will be assessed a $5.00 administrative fee for all refund requests. Cancellations initiated by Parks & Recreation will not be assessed the $5.00 fee. Waiver of Liability: I, the undersigned, or my child, in consideration of being permitted to participate in the activity, do hereby agree to ho ld harmless the City of Arden Hills and its employees and agents from any and all liability for personal injury which may result from participating in this activity. This waiver includes any injuries which may result from the conditions of the playing field and any improvements thereto. Tennessen Warning: The information requested on the registration form will be used to verify eligibility and determine staff, facility, and e quipment needs. You/Your child’s name, age, grade level, address, telephone number, and health information will be provided to city staff, volunteers, the city attorney, insurer, and auditor. Although you are not legally required to disclose this information, failure to do so will prevent you/your child from participating in the program. Parent/Guardian Signature: _____________________________________________________ Date: _______________ Print Parent/Guardian Name: ____________________________________________________ Special Requests: __________________________________________________________________________________ Please Help Coach! If you sign up to coach (for sport leagues, not classes) your child’s sport registration is free. (One child per team coached .)  I will help coach. Sport_______________________ Name_______________________________________ Phone#________________________ REGISTRATION FORM -- City of Arden Hills, 1245 West Highway 96, Arden Hills, MN 55112 Activity Name: _____________________ Activity Code: __________ Fee: ______ Start Date: ________________________ Location: __________________________ Activity Name: _____________________ Activity Code: __________ Fee: ______ Start Date: ________________________ Location: __________________________ Activity Name: _____________________ Activity Code: __________ Fee: ______ Start Date: ________________________ Location: __________________________ Participant’s Name: ___________________________________ Gender: _________ Date of Birth: __________________ Address: ______________________________________City: __________________________ Zip: _________________ Day Phone: ______________________ Cell Phone: _____________________ Evening Phone: ____________________ School: _____________________ Email: ____________________________ Grade in 2014-2015 School Year: _______ Please make check payable to the City of Arden Hills. Totals: _________________ Refund Policy: No refunds are made except when a class is cancelled or when registration is withdrawn before class deadline. Partial cre dit will be con- sidered if cancellation is due to injury or serious illness. Refunds will be issued in the form of a credit voucher. The registrant will be assessed a $5.00 administrative fee for all refund requests. Cancellations initiated by Parks & Recreation will not be assessed the $5.00 fee. Waiver of Liability: I, the undersigned, or my child, in consideration of being permitted to participate in the activity, do hereby agree to ho ld harmless the City of Arden Hills and its employees and agents from any and all liability for personal injury which may result from participating in this activity. This waiver includes any injuries which may result from the conditions of the playing field and any improvements thereto. Tennessen Warning: The information requested on the registration form will be used to verify eligibility and determine staff, facility, and e quipment needs. You/Your child’s name, age, grade level, address, telephone number, and health information will be provided to city staff, volunteers, the city attorney, insurer, and auditor. Although you are not legally required to disclose this information, failure to do so will prevent you/your child from participating in the program. Parent/Guardian Signature: _____________________________________________________ Date: _______________ Print Parent/Guardian Name: ____________________________________________________ Special Requests: __________________________________________________________________________________ Please Help Coach! If you sign up to coach (for sport leagues, not classes) your child’s sport registration is free. (One child per team coached .)  I will help REGISTRATION FORM -- City of Arden Hills, 1245 West Highway 96, Arden Hills, MN 55112 Activity Name: _____________________ Activity Code: __________ Fee: ______ Start Date: ________________________ Location: __________________________ Activity Name: _____________________ Activity Code: __________ Fee: ______ Start Date: ________________________ Location: __________________________ Activity Name: _____________________ Activity Code: __________ Fee: ______ Start Date: ________________________ Location: __________________________ Youth Shirt Sizes: (leagues & summer camps) YS (6/8) YM (10/12) YL (14/16) AS AM AL Youth Shirt Sizes: (leagues & summer camps) YS (6/8) YM (10/12) YL (14/16) AS AM AL