Registration is Easy!

REGISTRATION DATES:

Summer Classes/Camps and Aquatics 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): 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.

REGISTRATION FORM IS LIMITED TO FAMILY MEMBERS ONLY. Check one: o Resident o Non-Resident (for clarification, see page 46.)

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.

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

Please read refund policy before submitting your registration.

TOTAL:

Credit Card No: – – – Exp. Date: 3- or 4-digit verification code:

Signature:

Payments made by credit card are subject to a non-refundable 2.99% credit card processing fee.