2013 Nicolet Recreation Department Summer Bulletin

Page 15

birthday parties

-15-

Name of Parent/Guardian: __________________________________________ Date: _______ Address: _______________________________________ City: _______________Zip: ______ Home Phone: ___________________________________ Day Phone: ___________________ Name of Child: __________________ Birthdate: _________________ Age: _______ Grade: __ E-mail address: ____________________________ Saturdays or Sundays 1:00 - 3:00pm (times are flexible) Date Requested: ___________________________ Imagination Party

Gymnastics Party

Dance Party

Crafting Party

Program#: 412100-01 $104.00R/ $124.00NR

Pool Party Program#: 412100-02 $104.00R/ $124.00NR

Program#: 412100-03 $199.00R/ $219.00NR

Program#: 412100-04 $104.00R/ $124.00NR

Program#: 412100-05 $104.00R/ $124.00NR

Program#: 412100-06 $145.00R/ $155.00NR

This party pack age is great for those high energy kids! We will customize a sport or game party with a variety of games and athletic activities. Games include but are not limited to: basketball, soccer, volleyball and various playground games.

This party package is excellent for those kids who love the water! Our host or hostess will give a swim test to all participants ensuring their safety. Children can participate in relay races, diving contests and have fun with a variety of water toys.

This party package provides an hour of entertainment from Mr. Story, a local storyteller and entertainer. Parties include your choice of parachute games, personalized stories, jokes, puppet shows, dancing, singing, magic and physical challenges.

This party package is great for kids that love gymnastics! Participants will be able to use the balance beam, parallel bars, and much more.

This party package is great for kids that love dancing! We provide the dance & games, you choose the style of dance and songs. From football to Disney to hip hop to ballet princess themes, we do it all!

Choose one of three different craft activities using puffy paints, glitter glue, fabric markers, rhinestones, beads, buttons, and more….or we can customize a project just for your birthday kid!!

Max: 25 kids

Max: 15 kids

Max: 25 kids

Max: 25 kids

Recreation Party

Max:

Max: 12 kids

25 kids

Bring your own food and dinnerware, and we’ll happily provide the space! Requests for the birthday parties must be made at least two weeks in advance. We reserve the right to cancel the party for any unforeseen problem or if payment is not received. Special requests may require additional fees, which must be paid prior to the event. All parties are held at Nicolet High School. It is customary to tip your birthday party host, but it is not required. It is your choice ($5 - $20 usual range). Attendance: ________ Age Range: ________ T-shirt size:________________ Payment by: Cash_____

Special Needs: _____________________

Total Fee, due at the time of request:

$__________

Check______/#_________

Credit Card: MC/ VISA # ________ - _________- ________ - ________ Expiration Date:____ “As a participant in this program, I recognize and acknowledge that there are certain risks of physical injury and I agree to assume the full risk of any injury, damage or loss which I may sustain as a result of participating in any and all activities connected with or associated with such a program. I agree to waive and relinquish claims that I may have as a result of participating in this program against the Nicolet Recreation Department/Nicolet High School District and its officers, agents servants and employees. I do hereby fully release and discharge the Nicolet Recreation Department/Nicolet High School District and its officers, agents, servants and employees from any and all claims from injuries, damage or loss which I may have to occur to me on account of my participation in this program. I further agree to indemnify and hold harmless and defend the Nicolet Recreation Department/Nicolet High School District and its officers, agents, servants employees from any all claims resulting from injuries, damages and losses sustained by me and arising out of, connected with, or in any way associated with the activities of this program.” I HAVE READ AND FULLY UNDERSTAND THE ABOVE PROGRAM DETAILS AND WAIVER AND RELEASE OF ALL CLAIMS.

Signature: ______________________________________________________ Date: ________________


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