Slippery Rock Area Parks & Recreation
320 North Main Street Slippery Rock, PA 16057 Monday – Friday 8:00am-4:00pm
mmesser@srpark.org
7247948180
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Welcome
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Park Attractions
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Walking Trail
Contact Us
Contact Info
Adventure Camps
Summer Sports Camp
Volleyball Skills Camp
Summer Swim
Swim Waiver
Youth Scholarship Program
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Preschool Program
FLF Program
FLF Registration
Pre-K Program
Pre-K Registration
Summer Playsafe
Summer Playsafe
Summer Playsafe Registration
PAY FOR PLAYSAFE
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Facility & Pavilion Rentals
Recreation Center
Rotary Pavilion
Veteran Pavilion
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Summer Playsafe
Summer Playsafe Schedule
Child's Name
Age
Please list an medical concerns or food allergies.
T-shirt Size
Second Child's Name
Child # 2 Age
Child #2 T-shirt Size
Please list an medical concerns or food allergies.
Mother/Legal Guardian Name
Mother/Legal Guardian Address:
Mother Phone/cell number
Mother E-Mail:
Father/Legal Guardian Name
Father/Legal Guardian Address:
Father Cell phone:
Father E-mail:
Please list at least two names, besides yourself, whom you authorize to pick-up your child.
1. Name:
2. Name:
Names of emergency contact, if parent is unavailable:
1. Full Name and Number
2. Full Name and Number
The Park will not be responsible for any toys, hand held games or personal belongings your child/children brings to PlaySafe.
My child/children and I agree to abide by the Park's rules and regulations in order to maintain the safety and security of this program.