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<br />1- <br /> <br />CHAIN OF LAKES YMCA AND <br />CENTERVILLE PARKS AND RECREATION <br />PRESENT <br /> <br /> <br />GAMES! CRAFTS! <br />SOMETIMES WET, SOMETIMES MESSY, <br />ALWAYS FUN ACTIVITIES! <br />Centered around the YMCA core values of <br />CARING, HONESTY, RESPECT, RESPONSIBILITY. <br /> <br />Mon. and Wed. 9:30=11 :30 a.m. 3=5 year olds <br />August 4,6,11 and 13 <br />Tues. and Thurs. 9:30-11 :30 a.m. 6-11 year olds <br />August 5,7,12 and 14 <br />Space is limited so register soon! <br />Pre-register by 5:30 p.m. Wednesday July 30th $10.00/child <br />Register after 5:30 p.m. Wednesday July 30th $15.00/child <br />Registrations by cash or check can be mailed or brought to <br />The Chain of lakes YMCA <br />clo L1no Lakes state Bank <br />7449 Village Drive <br />L1no Lakes, MN 55014 <br />651-795-9622 <br /> <br />Registration Form <br /> <br />Parent's Name/Address/Pbone Number <br /> <br />Child's Name and Age <br />2 Emergency Pbone Numbers <br />Doctor's Name, Phone and Preferred Hospital <br />Health Concerns <br />The YMCA bas my permission to use pbotographs of my child for promotional purposes. Initials <br />As Parent/Guardian of this child, I agree to hold the YMCA and Centerville Park and Recreation harmless from <br />any and all claims. I authorize the YM"CA staff to give my child reasonable first aid and to transport my child <br />to a health care facility for emergency services a needed. 1 hereby acknowledge that the YM'CA will assume <br />that either parent of the child may pick up the child at any time during the program unless notified through <br />court documentation. <br />Parent/Guardian Signature Date <br /> <br />The YMCA welcomes all who wish to participate, and annually raises funds through our Y <br />Partners campaign to help make that possible. Please let us know ifwe may serve you or <br />your family in this way. <br /> <br />l' <br /> <br />YMCA <br />We build SlroUg kid" <br />lIlTong Iamilies, strong communities. <br />