Spring Summer Application

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SPRING/SUMMER REGISTRATION

Please Mail to: Belmont Recreation Department P.O. Box 56, Belmont MA 02478

Name:                                         DOB:                                           Phone:                   

 

Address:                                                                          E-Mail:

I hereby grant permission for myself / my child to participate in the Belmont S.P.O.R.T. program. I expressly agree to release and save harmless the Town of Belmont or any of its employees and volunteers from any liability for injury resulting from participation in this program.

 

 

Date                                                                               Parent/Guardian Signature

 

Program:                                          Dates:                                  Resident     Non-Res.    Check Off

1.    Bocce                                         June 21-Aug. 9                  $20               $30               _________

2.    Special Olympic Cycling             May 31- Aug. 9                 $35               $45               _________

3.    Special Olympic Swimming         March 22- June 16             $35               $45               _________

4.    Special Olympic Tennis              April 6 – June 15                $35               $45               _________                

5.    Special Olympic Track                March 30 –June 15             $35               $45               _________

6.    Special Olympic Volleyball          March 29 - June 14            $35               $45               _________

7.    Special Olympic Golf                   May 2 – Aug. 10                 $35               $45               _________

8.    Special Olympic Softball             May 16 – Aug. 10               $35               $45               _________

9.    Recreation Swim                        July 12- Aug. 25                $20               $30               _________

10. Sailing                                        May 5 – Aug. 25                 $35               $45               _________

11. Power Lifting                              March 23 – June 15            $35               $45               _________

12. Friday Night Socials                   Spring/Summer                 N/A              $10               _________

13.  Self Defense                              Spring                               $5                $15               _________

**Non-Resident is anyone who does not live in Belmont, Watertown, Waltham and Arlington. **

Friday night socials: $10 covers the registration fee. There may be additional costs depending on the

program. If you do not sign up for Friday Night Socials you will not receive the schedules in the mail.

 

 

 

Total of Check Enclosed: $____________ Make all checks payable to: TOWN OF BELMONT

Mail Registration form and payment to:

Belmont Recreation Department

P.O. Box 56
Belmont, MA 02478

 

You may enroll for all programs now. No summer program brochures will be sent. Please make copies as needed for additional registrations. THANK YOU J