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Re: sport class info

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Fee 60.00

please make checks payable " Tenafly Recreation Return to Riveredge Road,

Tenafly, 07670

Child's Name_____________________________________

Grade________________________ Date of Birth__________________

Address________________________________

Phone (h)_________________________

(aka)___________________email________________________

Emergency contact____________________________ phone_______________________

Doctor______________________ Phone________________ Special medical

information______________________

I the undersigned parent/guardian of the above named applicant do hereby

give my permission for him/her to participate in this specific Tenafly

Recreation Commission activity.

I do assume all risk and hazards incidental to this trip, activity and

transportation and do further hereby release, absolve and hold harmless the

Borough of Tenafly, Tenafly Recreation Commission, its agents, instructors

and coaches.

I do further understand that the Borough of Tenafly or the Tenafly

Recreation Commission does not provide Accident Insurance for this activity.

I hereby fully consent to emergency medical care to be rendered by competent

medical physicians in the event that the above named child should require

such attention during this activity.

PARENTS NAME _____________________________________ SIGNATURE

__________________________________

CHECK # _________FEE $_______________ RECEIPT # _____________________

DATE ____________________

sport class info

>

> We just received conformation to have our Sports Class at the Tenafly

> Middle School field that is off of Tenafly Road. Please download and send

> the application and $60.00 fee to Tenafly Recreation as well as call me

> at 201-220-6865 to confirm your attendance. Thanks so much for your

> patience and I am excited to see all of you July 21st. If there is rain I

> will send any cancellations via email only.

>

> If any students are interested and willing to partipate as buddies then

> please email or call me with your information.

>

> Warmest Regards,

>

> Suzanne M. Schwarz

> ourchildrencanlearn.com

> 201-220-6865

>

>

>

> Tenafly Recreation presents a program for special people!

>

> A non-competitive sports program in which children learn adaptive physical

> education skills! Sessions will combine a variety of physical education

> games and sports instructed by certified Physical Education and Special

> Education teachers. The program will focus on motor skill development and

> is open to children ages 5 - 21 of all ability levels. A

> parent/caregiver will be required to attend and participate in this

> cooperative learning process.

>

> Program Dates: July 21 - August 13

> Program meets Tuesdays

> and Thursdays

> Twice per week for 4

> weeks. (8 sessions)

>

> Time: 6:30 - 7:30 p.m.

>

> Location: Tenafly Middle School

> Playing Field Located Adjacent to

> Tenakill stream.

>

> Instructed by: McIntosh, Physical Education Teacher

> Suzanne Schwartz, Special Education

> Teacher

>

>

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