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POLICIES/PROCEDURES page 46 REGISTRATION
REGISTRATION DATES: Summer Classes & Programs May 9, Incorporated Danville residents May 16, Open registration PAYMENTS ACCEPTED: American Express, MasterCard, Visa, Discover, Exact Cash, Check or Money Order payable to Town of Danville
ONLINE REGISTRATION: www.danville.ca.gov/recguide • Click the blue Sign In button and log in with your email address. • Select the Activities tab to filter your search. • NEW account: click the Create an Account link (under the blue Sign In button), and follow the system prompts.
MAIL/DROP OFF: Danville Community Center Attn: Class Registrations 420 Front Street Danville, CA 94526 Hours: M-T, 8:00PM-5:00PM F, 8:00AM-1:00PM
Please print and complete each line. A unique email address is required for each registrant 18 years of age and older.
Name (Parent or Guardian if under 18):__________________________________________ Home Phone: __________________________
Address: _____________________________________________________ City: _____________________________ Zip: _______________
Cell: ____________________________ Email (required): ___________________________________________________________________
REGISTRATION FORM IS LIMITED TO FAMILY MEMBERS ONLY. Check one: o Resident o Non-Resident (for clarification, see page 46.) o Please check if you have changed your address from last registration. o To assure our programs benefit all who attend, please check here if any participant has a disability requiring special accommodations.
Participant’s Name Birthdate Activity # 2nd Choice Class Title Activity # Fee
I have read and understand the refund policy. Waiver of Liability: I, the undersigned or parent/legal guardian of the individual named above, do hereby waive, release, and discharge all claims for damages, death, personal injury, property damage which I may have or which may hereafter accrue to me as a result of participation in said activity. I understand that accidents can occur during the said activity. Knowing the risks of the said activity, I hereby agree to assume those risks. This release is intended to discharge and hold harmless the Town of Danville, its officers and employees from liability. This waiver and assumption of risk is to be binding on my heirs and assigns. I further understand that photographs and video may be taken of me during the course of the said activity and that these photographs and video may be used for Town of Danville publicity purposes. I HAVE READ AND UNDERSTAND THIS RELEASE. Please read refund policy before submitting your registration.
__________________________________________________________ _____________________ Signature Required (o parent) (o guardian) (o participant) Date
PAYMENT METHOD
Mail registration form & payment to: Danville Community Center, Attn: Class Registrations 420 Front Street, Danville, CA 94526
Payment by check or money order made payable to “Town of Danville”: o Check *Credit Card: o MasterCard o Visa o American Express o Discover o Card on File TOTAL: ______________________
Credit Card No: ____________ –____________ Exp. Date: _____________ 3- or 4-digit verification code: _____
Signature:________________________________________________________________________ Payments made by credit card are subject to a 2.99% credit card processing fee.
Danville Community Center 420 Front Street Danville, CA 94526 www.danville.ca.gov
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PRESORTED STANDARD U.S. POSTAGE PAID Danville, CA Permit No. 253 ECRWSS
HERE’S A LIST OF THINGS TO DO OUTSIDE THIS SUMMER!
• Stop by Summerfest and get the summer started • Make some Art in the Park • Watch a movie under the stars at Moonlight Movies • Rock out at Music in the Park • Celebrate the Boy Who Lived at Harry Potter’s Birthday Bash • Participate in the Arts & Rec on the Go activities • Attend the 4th of July Parade • Find Waldo in Downtown Danville • Find the frames and take some photos all over Town • Go on a hike with the Trail Mixer program • Spend a night under the stars on Mt. Diablo at
Family Campout
Did you know that July is Parks Make Life Better Month? Be sure to follow us on @danvilleparksca to get more ideas on how to celebrate!