PARKS & RECREATION REGISTRATION FORM

**AN ONLINE PAYMENT CONFIRMATION NUMBER IS REQUIRED IN ORDER TO FILL OUT THIS FORM**
 
Pay by Credit, Debit Card or E-Check: PAY ONLINE. Service fees apply. NEW! PAY WITH AN E-CHECK FOR $1.00 FEE !!!
 
Late Fees – Registrations received less than two weeks prior to start date are considered late. A non-refundable Late Fee of $10 per participant, per activity will be assessed. The Recreation Director will determine acceptance of the late registration.
 
WAIVER AND RELEASE OF ALL CLAIMS
Please note the cancellation and refund policies. You will be responsible to know the polices. Also, please make a note of all the classes you are signing up for as confirmation will not be sent. Note: Registration will not be processed without payment. Classes will be confirmed only if you are placed into your second choice class. As a participant in programs, I recognize that there are certain risks of physical injury and I agree to assume the full risk of any injuries, including death, damages or loss which I may sustain as a result of participation. I agree to waive and relinquish all claims I may have as a result of participating in programs against the Parks & Recreation Department, its officers, employees and volunteers. I agree to hold harmless the Village of East Troy and its officers, employees and volunteers from any and all claims. *By participating in a program, I grant The Village of East Troy the right to use any participants likeness in all forms and matter for publication, including web-based publications, without payment or other consideration.
 
By submitting this registration, I acknowledge my understanding of the guidelines set forth by The Village of East Troy Park & Recreaction and agree to these terms.
 
A REGISTRATION FORM FOR EACH INDIVIDUAL MUST BE SUBMITTED SEPARATELY!
If paying online, you are allowed to process one payment amount for multiple registrations.
 
 












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