Board of Recreation PING PONG Registration and Form

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RIDGEFIELD PARK BOARD OF RECREATION
FUN WITH PING PONG( TABLE TENNIS) 2015-2016 SEASON
Registration Dates and Locations: Thursday, Sept. 17, 2015 6:00 p.m. – 8:00 p.m.
Friday, Sept. 18, 2015
6:00 p.m. – 8:00 p.m.
COURT Room, Third Floor of Municipal Building (Enter on Park Street)
Eligibility:
Grades 1 & UP. We are introducing training session for Adults.
When:
Monday- 5:30 pm to 6:25 pm
Friday- 6:00 pm to 6:55 pm
Where:
Civic Center 2nd Floor
Session:
Session I- Sep 28 to Dec 5, Session II- Dec 7 to Feb 12, Session III- Feb 15 to Apr 22
COURSE OVERVIEW
The Ridgefield Park Board of Recreation, in collaboration with KiddieGym USA, is offering Table Tennis
lessons for kids & Adults as a part of its Fall& Spring program. Along with Table Tennis training, Fun with Ping
Pong program offers unique feature of i- learn session, where everyone gets an opportunity to have an
interactive session playing with ROBOT- 'i Pong'. Table Tennis paddles, balls will be provided by KiddieGym
USA for the training purpose.
Checks should be made payable to: RP BOARD OF RECREATION
Fee: $80.00 per child; $75.00 for each additional child. Refunds will be given with proper reason!
MAIL LATE REGISTRATIONS to: Board of Recreation, 234 Main Street, Ridgefield Park.
NO CASH ACCEPTED AT CLERK’S OFFICE!!
REGISTRATION FORM - PERMISSION SLIP
Name:______________________________________ Boy:_______Girl________________________
Address:__________________________________ Town: __________________________________
Phone #:__________________________________Birth date: _______________________________
School:_____________ Grade: __________ Email: _______________________________________
Do you have any medical conditions? (Use Back of Form if Needed)
_________________________________________________________________________________
I/We, parents of the above child named for participation in the above league, hereby give my/our approval. I/We
assume all risks and hazards incidental to such participation including transportation, if any. We do hereby waive,
release, absolve and agree to hold harmless the Village of Ridgefield Park, members of the Board of Recreation, the
organizers, supervisors, and the participants.
SIGNED:___________________________________CLEARLY PRINT NAME:______________________________
***PLEASE MAKE SURE YOU SIGN FORM, CHILD CANNOT PARTICIPATE WITHOUT SIGNATURE***
NAME ON CHECK ____________________________ CHECK NO.__________AMOUNT______
ANY QUESTIONS, CALL (201) 641-4950 ext. 610 or www.ridgefieldpark.org or email
BoardOfRec@ridgefieldpark.org.
NO CASH ACCEPTED AT CLERK’S OFFICE
PLEASE NOTE THAT PURSUANT TO VILLAGE ORDINANCE, RETURNED CHECKS WILL BE SUBJECT TO MINIMUM
OF $25 PENALTY PAYABLE TO VILLAGE OF RIDGEFIELD PARK
YOU WILL BE RESPONSIBLE FOR $12 BANK FEE FOR RETURNED CHECK
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