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Registration Form

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Process: Resident registration begins August 15. Non-resident registration begins August 22.

All registration will begin at 7:00 am on the dates listed above. To accommodate any questions that may arise during online registration, additional staff will be available to assist. Any registration submitted prior to the registration start dates will not be accepted and will be returned.

5 Easy Ways to Register Rapid Reg – Online at carypark.com

This form of registration requires you to submit credit card payment and is also in “real time”; you will know immediately that you have been accepted into a class or program. Some programs are not available for online registration, but included for display purposes only. These programs can be registered using the following methods:

Mail In

Complete a registration form and mail the form with payment to: Cary Park District Attn: Registration 255 Briargate Rd. Cary, IL 60013

Fax

Complete a registration form and fax to 847-639-6290 (credit card payment required).

In Person

Visit the Community Center during the hours listed below. Monday – Thursday, 5:30 am - 10:00 pm Friday, 5:30 am - 8:00 pm Saturday & Sunday, 7:00 am - 6:00 pm

Drop Off Box

Place complete registration form and payment in a sealed envelope and drop off in designated box in the Community Center parking lot. The drop box is along the sidewalk in front of the building near the parking lot.

The Park District does not accept phone registrations.

Payment Accepted

The Cary Park District accepts checks (payable to Cary Park District), cash, Visa, MasterCard, Discover and American Express. Do not pay with cash if mailing or dropping your registration in the drop box. Receipts will be issued upon registration at the Community Center for cash payment validation.

Residency Checks

Any registrations with payment in cash or by credit card, and no previous account history, are subject to having residency checked with a printed form of proof such as a driver’s license, utility bill, etc. Also, addresses on checks that do not match addresses on registration forms will be subject to a residency check. Individual families should register on one form. Multiple families listed on one form will prevent your registration from being processed.

Registration Confirmation

A registration confirmation will be provided only when a registration has not been granted (i.e., wait list). In this instance, a confirmation will be issued to confirm the status of these registrations.

Therefore, presume you are registered for a program unless you are notified otherwise by the Park District. Questions can be directed to 847-639-6100 ext. 0.

Satisfaction Guaranteed Policy

The Cary Park District guarantees your satisfaction with the recreation programs and activities in which you participate. If you are not completely satisfied for any reason, please let us know. You will be able to choose one of the following options:

1. Repeat the program at no charge. 2. Receive full credit that can be applied to another program. 3. Receive a full refund.

Withdrawal Guidelines:

Cary Park District reserves the right to cancel any program with insufficient enrollment.

All refund requests must be made on a Cary Park District withdrawal form and submitted to the Cary Park District office and not with the program instructor. All refund/ withdrawal requests will be assessed a $5 service charge. If the second meeting of a program has passed, withdrawal requests will be considered on a prorated basis in addition to the $5 service charge. Refunds will not be issued after the third class meeting. Refer to withdrawal form for refund options.

Refunds will not be issued for one-day programs or events, sports leagues, tournaments or tickets to sports/ entertainment/events or deposits for programs. Memberships, pool passes, Preschool, and E.T. KidZone withdrawals will be evaluated on a case-by-case basis and may require support documentation.

Cary Park District Registration Form

Phone: 847.639.6100 l Fax: 847.639.6290 l www.carypark.com

Parent/Guardian Name

Address

Street Home Phone

City Business Phone Date

Zip

E-mail Address

Receive the latest Cary Park District news, promotions, surveys, and more through e-mail. Sign up today!

Code Program Name Registrant Name Sex Birthdate Mo./Day/Yr. Fee

Method of Payment: Cash ________ Check # ________ MasterCard/Visa/Discover_______ Total

Credit Card Number__________________________________ Exp. Date _______________ CVV/CVC___________

Cardholder Name ____________________________________ Amt. of Charge _________

Authorized Signature ____________________________________________________________

3 or 4 digit number on back of card

Do you need assistance or accommodations to participate in any programs?

Warning of Risk: Recreational activities/programs are intended to challenge and engage the physical, mental, and emotional resources of each participant. Despite careful and proper preparation, instruction, medical advice, conditioning, and equipment, there is still a risk of serious injury when participating in any recreational activity/program. Understandably, not all hazards and dangers can be foreseen. Depending on the particular activity, participants must understand that certain risks, dangers, and injuries due to inclement weather, slipping, falling, poor skill level or conditioning, carelessness, horseplay, unsportsmanlike conduct, premise defects, inadequate or defective equipment, inadequate supervision, instruction, or officiating, and all other circumstances inherent to indoor and outdoor recreational activities/programs exist. In this regard, it must be recognized that it is impossible for the Cary Park District to guarantee absolute safety.

Waiver and Release of all Claims and Assumption of Risk: Please read this form carefully and be aware that in signing up and participating in Cary Park District identified programs/activities, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages, or loss which you or your minor child/ward might sustain as a result of participating in any and all activities connected with and associated with said programs/activities (including transportation services/vehicle operation, when provided).

I recognized and acknowledge that there are certain risks of physical injury to participants in these programs/activities, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/ward or I may sustain as a result of said participation. I further agree to waive or relinquish all claims I or my minor child/ward may have (or accrue to me or my child/ward) as a result of participating in these programs/activities against the Cary Park District including its officials, agents, volunteers, and employees (hereinafter collectively referred to as “Cary Park District”).

I do herby fully release and forever discharge the Cary Park District from any and all claims for injuries, damages, or loss that my minor child/ward or I may have or which may accrue to me or my minor child/ward arising out of, connected with, or in any way associated with these programs/activities.

I have read and fully understand the above important information, warning of risk, assumption of risk, and waiver and release of claims. If registering via fax, your facsimile signature shall substitute for and have the same legal effect as an original form signature.

Photo Release: The Cary Park District takes photos and videos of participants in programs, during special events, and in the District’s parks and facilities. By signing the waiver, you are giving permission to the District to use these photos and videos in our publications and on our website and social media outlets without further permission and without any compensation to you. All photos and video are the property of the District.

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