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MEN’S PICK-UP BASKETBALL
AGES: 24+
DATES: Tuesdays Starting September 24th
TIME: 7:30-9:30pm
WHERE: Central Tree Middle School

The Recreation information box, with a place for drop-off, is located inside the front door of Town Hall.  You may register for programs up until the start date, provided there is space available or a deadline date has been set.  Confirmations will not be sent.  Please fill out this form and mail (or bring in) with the proper fee to:  RUTLAND RECREATION, 250 MAIN ST., RUTLAND, MA, 01543.  For any questions, you may contact us at 508-886-0048 or email recreation@townofrutland.org 
        - Send check or money order (please do not send cash).  Make checks payable to”RUTLAND RECREATION”
        - No CASH accepted

Important Information:  The administration reserves the right to cancel or consolidate programs depending on registration.  If a course is cancelled, you will be called and your check will be returned.  Registration may be limited due to subject matter, space limitation, and leadership ratio.  Waiting lists will be established as programs fill up.  Late registration will be accepted subject to available space.

Refund Policy:  Full refunds are given when:  A) a class/program is cancelled due to low enrollment; B) the class/program is already filled.  Students or participants withdrawing from a class/program at least 5 full business days before the start of a class will receive a full refund, minus a 10% administrative fee.  No other refunds will be granted.

Cancellations:  If schools are closed, scheduled recreation programs held in schools are also cancelled.

Name: ____________________________________________________________________________

Address: ________________________________________________________________________

Town/State/Zip: ______________________________________________________________________

Home Phone: _______________________________Work/Cell Phone: ____________________________

Emergency Contact:_____________________________________________________________________

Medical Considerations/Allergies: _______________________________________________________

Name of Program: Men’s Drop in Basketball       

Day/Time: Tuesday’s 7:30-9:30

Fee: $4/ night or $90/year

PLEASE MAKE CHECKS PAYABLE TO “RUTLAND RECREATION”

I agree not to hold responsible the Rutland Recreation Commission; the Town of Rutland; the owners of the premises where the program is held; or any of the parties connected with the program for any injury or accident that may occur during the program.  I understand that if my child becomes a discipline problem, he/she will be dismissed from the program.  No money will be refunded.  I also grant permission for the Recreation Staff to seek medical care for my child in the event that a family member cannot be reached.  (All participants in any town recreation program must complete this waiver.)

Signature: _____________________________________________________Date:_____________________
Email: __________________________________________




 
Town of Rutland 250 Main Street, Rutland, MA 01543   Disclaimer
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