Madison County Parks and Recreation’s
Terrific Tuesdays/Thursdays
Contact
parks@madisoncountync.gov
Office: 649-3635
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Participant’s Name:
_________________________________________________________________________
Birth date: ____________________________
Grade just completed (14/15): ____________
Allergies/Medical conditions:
__________________________________________________________________________
Parent Name:
__________________________________________________________________________
Address:
___________________________________________________________________________
Phone Numbers:
________________________________________
Emergency Contacts for day of event (Names and numbers, 2 required):
___________________________________________________________________________
E-mail address:
___________________________________________________________________________
Release:
______________________ has my permission to be transported by Madison County Board of
Education School Buses to and from these events. I give my permission for the Madison
County Parks and Recreation leaders to get emergency care for _________________, if an
emergency arises on these trips. I also give permission for pictures to be taken of my child
during the trips. I realize that all physical activities have some risk of injury and release
Madison County of all liability for those injuries.
________________________________________ Signature of Parent/Guardian
________________________________________Date
Please circle the trips that you are attending:
June 23
Movie (TBA)
9:00-1:00 $5
July 14
June 25
Rafting on French Broad
(Ages 8 and older)
8:30-1:00 $25
July 16
Lake Lure Beach
(Strong Swimmers Only)
9:00-3:00
$10
Linville Caverns/Gem Mining
9:00-5:00
$20
June 30 Kidsenses Museum
(Preschool and Elementary Only)
9:00-3:00 $10
July 21
Wetlands WaterPark
(Strong Swimmers Only)
9:00-3:00
$10
July 7
Bowling
9:00-1:00 $8
July 30
Treetop Adventure Park
(7 and older only, under 7
must have adult chaperone)
8:30-1:00
$30
July 9
Tropical Gardens Putt-Putt
9:00-1:00 $8
Aug 6
Trampoline Park
9:00-3:00
$15
Gear Up Registration for June 25, July 23, July 28, and Aug 4 for rising 7th and 8th graders must
be done by contacting Tom Field at tfield@madisonk12.net
All trips will begin/end at the County Admin Bypass Offices and lunch will be provided for
all children. Please make all checks out to: Madison County Parks and Recreation
Reservation forms and payments may be returned to: PO Box 579, Marshall, NC 28753 or to
the County Admin Bypass Offices, Rm 15. Questions? Call 649-3635