Roseland Recreation Department 140 Eagle Rock Avenue - mcolitti@roselandnj.org – 973/403-6822 Mayor John Duthie CHRISTMAS TREE LIGHTING AND SANTA ARRIVAL FRIDAY, DECEMBER 4, 2015 All registration forms for visit with Santa must be fully completed and sent to: Roseland Recreation Department, 140 Eagle Rock Avenue, Roseland, NJ 07068 SCHEDULE OF FESTIVITIES 6:15 p.m. ROSELAND METHODIST CHURCH - CHURCH BELLS – Welcome the season with this annual tradition 6:30 p.m. CHRISTMAS MUSIC - Sound system provided by The Bolger Family. In case of inclement weather call 973/226-6552-#3 no earlier than 4:00 p.m. This portion of the festivities may be canceled. 7:00 p.m. CHRISTMAS TREE LIGHTING and CRECHE DISPLAY with Mayor John Duthie and the Roseland Council bringing in the holiday season at the BOROUGH HALL (Rain or Shine) 7:15p.m. VISITATION AND RECEPTION WITH Santa Claus at the HARRISON AVE. COMPLEX COUNCIL CHAMBERS (Complimentary picture with Santa courtesy of TSS Photography) MUSIC, DANCE SHOW, and REFRESHMENTS NOTE: Santa Reservations for Roseland children will be accepted on a first come/first served basis Deadline: Wednesday, December 2, 2015. After 12/2/15, all those Roseland children not pre-registered will be given a number on the day of the event at the post registration table. SPECIAL THANKS TO: AUXILIARY POLICE, AVALON ROSELAND, BEAUTIFICATION COMMITTEE, BOLGER FAMILY, DPW, EMERGENCY MGT., FIRE DEPT., FIRST AID SQUAD, GROVES UNLIMITED, JUNIOR WOMAN’S CLUB, POLICE DEPARTMENT, PUCCI PERFORMING ARTS, STARBUCKS, TSS PHOTOGRAPHY, WEST ESSEX DANCE TEAM AND SANTA AND HIS ELVES. -------------------------------------------------------------------------------------------------------------------------------------------Detach Here One form per participant! OFFICE USE ONLY Number Order _______ 2015 SANTA CLAUS VISITATION Please complete this form and mail to: ROSELAND RECREATION DEPARTMENT 140 Eagle Rock Avenue, Roseland, New Jersey 07068 Name _______________________________Address ___________________________________ Age _____ Home Phone Number ________________ E-Mail _______________________________ Child Photo / Video / Release Form I grant permission for the Borough of Roseland, Roseland, New Jersey to use photograph(s)/moving image(s) of my child participating in Borough programs and/or activities for promotional purposes. I understand that photographs or recordings may be utilized by the Borough at its discretion for materials including, but not limited to: newsletters, brochures, television, video tape and flyers. Photographs sent to the local newspaper may have names noted. There will be no valuable consideration paid as a result of this activity. Yes ___ No ___ PARTICIPANT WAIVER OF CLAIM FORM: As partial consideration for the Borough of Roseland providing ________________________________(“Participant”) with the opportunity to participate in the Tree Lighting/Santa Arrival Event I, __________________________, as parent or guardian of Participant, on his or her behalf and on my own behalf and that of my spouse or partner, agree to hereby 1) acknowledge that there are foreseeable and unknown risks inherent in participation in the Event, 2) release, indemnify and hold harmless the Borough of Roseland, it officials, departments, employees, volunteers, contractors, insurers, including the NJIIF and the Borough of Roseland, its owners, employees, volunteers and subcontractors from and against all claims, losses, costs an damages arising from Participant participation in the Event, and 3) agree that for any loss or damage suffered by Participant will be turned over to parent / guardian’s insurance company. I also represent that the Participant has been cleared by his/her physician to participate in the Program. If a medical emergency should arise and the parent / guardian cannot be reached immediately at the home phone # (__________________________), at the work phone # (________________), at the emergency phone # (___________________) or via the cell phone # (___________________), I, parent or guardian, hereby grant medical personnel to take whatever means he or she deems necessary to safeguard the welfare of the Participant. Print Name _______________________________Signature___________________________________________________Date_____________