Summer Camp Page 2New Recreation Cards Page 4Youth Soccer Registration Page 10Bike Month Page 23Nor folk Senior Olympics Page 27

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guide to Course listingsCOuRSe NaMeAges Prerequisites (if any). Course description. Course cancellation dates. lOCatiON: activity # day dates time Register-by date Resident/Non-Resident fee

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Ages 13 & Up Broadenyourmanicurehorizonsbyexperimentingwithdifferentcolorsanddesigns.Discussbasicnailcareandmaintenance.Bring$20tothelastclassandgogetapediucre.A$10supplyfeeisincludedinthecoursefeeandisnonrefundableaftertheregistrationdeadline.

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viviaN C. MaSON teeN CeNteR700E.OlneyRoadNorfolk,VA23504Office:(757)441-1034Fax:(757)441-1039OfficeHours:Mon-Fri:10:00a-4:00pFacilityHours:Mon-Wed:12:00p-8:00pThu-Fri:12:00p-4:30p

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ClaSS RegiStRatiON fORM Pleaseprintandfilloutcompletely. Participant Name (or Parent/Guardian if participant under 18)

Address, City, State, Zip Code

Phone Numbers (Day) (Evening) E-mail Address

Emergency Contact Name: Phone Number: Relationship:

Medical Treatment Permission & Acknowledgment of Risks: In consideration of my participation in the activity provided by and through the City of Norfolk Department of Recreation, Parks & Open Space (RPOS), I, for myself or on behalf of the participant who I represent, authorize City of Norfolk employees to take and provide all necessary medical attention should I, or the participant who I represent, be injured while participating or being transported to or from any RPOS-sponsored activity. I have read the policies pertaining to cancellations, refunds, rules and regulations as they pertain to this activity. I acknowledge the risks and responsibilities involved in these activities, and assume the risks and responsibilities involved in these activities. I assume these risks realizing the capabilities of the person(s) participating. I have read this release and understand all its terms and execute it voluntarily and with full knowledge of its significance.

_________________________________________________________________________________________________________________/____/___________Signature of participant Signature of parent/guardian (if participant under 18) Date

Photo Permission Release Agreement: OPTIONAL. I understand that I, or the participant who I represent, may be photographed and/or videotaped while participating in this activity. I agree to allow the City of Norfolk Department of Recreation, Parks & Open Space to use said photographs and/or videotapes in Department publications, media campaigns, and/or for educational and safety training purposes. I further waive any compensation for publishing and/or printing such photographs. I understand that by affixing my signature on this form, I attest to having read, fully understand and agree to the conditions as set forth above.

_________________________________________________________________________________________________________________/____/___________Signature of participant Signature of parent/guardian (if participant under 18) Date

Individuals with a disability are entitled to participate in programs offered by the Norfolk Department of Recreation, Parks & Open Space. If you require any special accommodations, call (757) 441-1764 prior to registration.

Only check or money orders accepted, made payable to Norfolk City Treasurer.

Total Amount Due $No cash accepted.Form of payment: Check Money OrderCheck/Money Order #

PARTICIPANTLAST + FIRST NAME

bIRTh DATEMM/DD/yyyy

SEx ACTIvITy NuMbER ACTIvITy NAME SITE DAy/TIME TOTAL FEE

RegiStRatiON iNfORMatiON

MichaelS.OHearnRetiredCapt.USNavy

Chair

BenjaminCobb GeorgeH.Curtis,IV

CharletteWilliams

PaulL.Ballance

DebraRocke

Meet the RPOS COMMiSSiONTheRPOSCommissionservesinanadvisorycapacity to theRPOSDirector.AppointedbyCityCouncil, thecommissionservesasCouncils

eyesandearsinthecommunity,determiningtherecreationneedsanddesiresofcitizens.ContactthecommissionatRPOS@Norfolk.gov.

StephenPowell

Were looking for dedicated volunteers to coach our RBI teams. Coaching clinics and training will be provided. Call us today to get involved in this life-changing league.