2007-06-06 Packet - Laserfiche WebLink

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Centennial Fire District, Lexington Fire Department, Lino Lakes Police Department, Centennial Lakes Police Department, and Lino Lakes and Parks and Re~reation Department present... Safety Calnp Thursday, August 9, 2007 , -.., . This one-day camp brought to you by the Centennial Fire District, Lexington Fire Department, Lino Lakes Parks and Recreation Department, and the Lino Lakes and Centennial Lakes Police Departments will increase your child's knowledge and awareness of all aspects of safety. The camp includes sessions on bike safety, fire safety, 911 procedure, water safety, personal safety, electrical safety, outdoor safety, and first aid - all in an informative and fun atmosphere. Safety Camp is intended for children entering 4th grade the fall of 2007. Pre-registration is required and limited to the first 150 participants. Priority will be,given to residents residing in Lino Lakes, Circle Pines, Lexington, and Centerville until June 20. After this date, any person who wishes to register may do so. To register: mail completed form (below) and payment (cash or check only) to the CENTENNIAL FIRE DEPARTMENT, C/O SAFETY CAMP, 7741 LAKE DRIVE, L1NO LAKES, MN 55014. Checks payable to Centennial Fire District. For additional information, please call the Centennial Fire Department at 651-784-7472. Note: An informational packet will bemailedouttoallregisteredparticipantsoneweekpriortothecampdate.Campincludeslunch.shirt. special giveaways, and an awards ceremony at the end of the day. Date Grade ('07-'08) Time Thursday, August 9, 2007 4 7:30 a.m.- 6:00 p.m. Location Rice Lake Elementary COST: $10 per child. SCholarShips available. Call 651-784-7472 for more Information. Mail completed registration form and payment (cash or check only) to: Centennial Fire Department C/O Safety Camp 7741 Lake Drive Uno Lakes, MN 55014 ............................................................................................................................................... . . . . Safety Camp Registration Form Mall registration form to: CENTENNIAL FIRE DEPARTMENT, 7741 LAKE DRIVE, L1NO LAKES, MN 55014 Phone: 651-784-7472 Checks payable to: CENTENNIAL FIRE DISTRICT Cost: $10 per participant Parent/Guardian Name Emergency Contact (other than parent/guardian) Special needs Friend's Name (if child would like to be in a group with theirfriend)*: * Note: We will do our best to honor your request, but there is no guarantee your request will be granted. PARTICIPANT AGREEMENT: I, the participant, in consideration of my being permitted to participate in the activity, do hereby agree to hold harmless, the Uno Lakes Parks and Recreation Deparbnent, City of Uno Lakes, City of CIrcle Pines, Centennial School District and their employees, the Centennial Are District and the Uno L.akes and CenteMleI Lakes Police Departments 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's Name (Last) Address (First) Sex_Birthdate State (w)L-J Phone L---> City Phone{h)L..J Age_ Zip Parent/Guardian Signature Date ................................................................................................................................................