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Slippery Rock Area Parks & Recreation

320 North Main Street Slippery Rock, PA 16057 Monday – Friday 7:30 am-3:30pm

slipperyrockgeneral@gmail.com
724-794-8180

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Villagefest 5K Walk/Run

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Villagefest 5K Walk/Run

Dust off those running shoes and join us on September 13th for our annual Villagefest 5K!

Additional Activities

Registration Details

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Please Choose The Program(s) You Would Like to Register For:

Please Choose the Program(s) You would Like to Register For:(Required)

Villagefest 5K

SafeSitter (Babysitting)

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Please Choose the Program(s) You Would Like to Register For:

Villagefest 5K

Participant's Name(Required)

First Last

Age(Required)

Shirt Size(Required)

YS, YM, YL, AS, AM, AL, AXL

Please Choose One(Required)

12 and Under

13 and Over

Parent's Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Fall Cross country

How Many Children Are you Registering?(Required)

1

2

3

Child's Name(Required)

First Last

Age(Required)

Shirt Size(Required)

YS, YM, YL, AS, AM, AL, AXL

Child's Name(Required)

First Last

Age(Required)

Shirt Size(Required)

YS, YM, YL, AS, AM, AL, AXL

Child's Name(Required)

First Last

Age(Required)

Shirt Size(Required)

YS, YM, YL, AS, AM, AL, AXL

Parent's Name(Required)

First Last

Phone(Required)

Email(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Kindergarten Bootcamp

Child's Name(Required)

First Last

Date of Birth(Required)

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code

Which Sessions?(Required)

If you would like to register for all sessions, please select the “All Sessions” option. There $60 off of the total price which is factored into the option of “All Sessions”.

June (June 23rd – 27th)

July (July 21st-25th)

August (August 18th-22nd)

All Sessions

Mother/Legal Guardian Name(Required)

First Last

Work Phone(Required)

Cell/Home Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Father/Legal Guardian Name(Required)

First Last

Work Phone(Required)

Cell/Home Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Authorized Pick-up 1(Required)

Please list two names, besides yourself, whom you authorize to pick-up your child. If you are divorced, please list other parent’s name, if they are permitted to pick-up your child. If there is a court order involved, please provide a copy to the park office.

First Last

Phone(Required)

Authorized Pick-up 2(Required)

First Last

Phone(Required)

Does your child have any allergies or medical conditions we need to be aware of?(Required)

What are your child's interests and favorite activities?(Required)

How would you describe your child's personality?(Required)

How does your child respond to new settings and interactions with other children?(Required)

How does your child learn best? What is their learning style?(Required)

How would you describe your child's behavior? Is there anything we should be aware of?(Required)

What would you like to see your child improve on after completing Kindergarten Bootcamp? Are there any areas you feel need to be specifically focused on for your child?(Required)

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Dino Day

Child's Name(Required)

First Last

Grade(Required)

Parent's Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

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Mother Son Carnival

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Name(Required)

First Last

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Grade(Required)

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Parent's Name(Required)

First Last

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Phone(Required)

This field is hidden when viewing the form

Email(Required)

This field is hidden when viewing the form

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Babysitting

Child's Name(Required)

First Last

Age(Required)

Session(Required)

October 4th

Parent's Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Dog Training

Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Dog's Name(Required)

First

Breed(Required)

Age(Required)

Male or Female(Required)

Spayed/Neutered?(Required)

Yes

No

Payment Details

Processing Fee(Required)

Price: $0.00

Total

Credit Card

Card Details

Cardholder Name

Comments

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Photo Gallery

Preschool Gallery

Preschool Gallery

Recreation Center

Recreation Center

Veteran Pavilion

Veteran Pavilion

Co-Ed Basketball K-4 Gallery

Co-Ed Basketball K-4 Gallery

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