2009-05-06 P & R Packet - Laserfiche WebLink

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6mteFmialFire [}istrict LexiRgt(}flFke Department, Lino Lakes Police Department, Centennial Lakes Police Department, arid Lino Lakes Parks and Recreation Department present... Annual Safety CIImp Thursday, August 13, 2009 . Ages: Grade 4 (2009/2010) 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 atmosphe~.?afety Camp is intended for children entering 4th grade the fall of 2009. Pre-registration is required and nmited to the first 150 oarticipants. Priority will be given to residents residing in Lino Lakes, Circle Pines, Lexington, and Centerville until June 19. After this date, any person who wishes to register may do so. Registrations are accepted via mail, fax. drop-box, In-person, or on-line. To register on-line visit our website at www.ci.lino-Jakes.mn.us.click on Parks and Recreation On-Line Registration and follow the link to our on-line registration site. For additional information, please call Lino lakes Parks and Recreation Department at 651-982-2440. Note: An informational packet will be mailed out to all registered participants one week prior to the camp date. Camp includes lunch, shirt, helmet special giveaways, and an awards ceremony at the end of the day. Day: Date: TIme: Thursday August 13 7:30 am - 6:00 pm loe: Cost: Prg #: RLE $20 per partidpant 4005.202 Sex_Birthdate State rN) L-l Phone L.J Participant's Name (Last) Address Parent/Guardian Name Emergency Contact (other than parent/guardian) Spi!cialneedlAllergies/Medications List Onernendto be Grouped with': , Note: Both registrations must have the same request. (First) City Phone (H) L.J Zip ~ PARTICIPANT AGREEMENT: I, tho portidpa"" in consideration of my being pormitted to partidpale in the activi1y, do hereby agree to hold hannle55, the Uno Lakes Parl<s and Recreation Department City of Uno Lakes, Ci1y of CutIe PInes, Centennial School District and their employees, the Centennial Fire District and the Uno Lakes and Centennial Lake5 Police Departments f~ IffY 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 th~ condition of the fadllti~ and any improvements hereto.