Winter 2014 (2)

12
Bristol Recreation Dept. & The Hub Teen Center 2014

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Transcript of Winter 2014 (2)

Page 1: Winter 2014 (2)

Bristol Recreation Dept.

& The Hub Teen Center

2014

  

Page 2: Winter 2014 (2)

General Information Bristol Recreation Department

Our Mission The Bristol Recreation Department is committed to offering life long learning opportunities through a wide range

of quality recreational and performing arts activities to people of all ages.

The Recreation Department is located upstairs in

Holley Hall

P.O. Box 249

Bristol, Vermont 05443

Open Monday – Friday 8:30 AM– 4:30 PM

Phone: 453-5885 • Fax: 453-5188

Email: [email protected]

Website: www.bristolrec.org

Facebook: Bristol Recreation Department

Darla Senecal, Recreation Director

Valerie Hanson, Recreation Assistant

Matlak Mayforth, Potter in Residence

Ryan Krushenick, Youth Center Director

C. Bolton Littlefield, Youth Center Program Director

Samantha Rothberg AmeriCorps Member  

SCHOLARSHIP ASSISTANCE 

Scholarship Assistance is available through the Recrea‐

on Office. 

REFUND POLICY 

If you are dissa sfied with a program a er the first ses‐

sion (class), you must submit a wri en explana on to 

Bristol Recrea on Department prior to the second ses‐

sion (class) to be eligible to receive a refund. In the event 

of an extended illness or injury, we must be no fied im‐

mediately and we will issue a prorated refund. A medical 

and/or doctor explana on will be required. We cannot 

issue refunds for trips, special events,  cketed events, 

and no refunds are given for a single session. Refunds 

will be issued for programs canceled by the Bristol Recre‐

a on Department. An administra on fee of $5.00 will 

be charged for all processed refunds. 

BACKGROUND CHECKS 

In order to protect the ci zens of Bristol, it is the policy 

of the Town of Bristol to conduct criminal background 

checks of all volunteers and subcontractors providing 

unsupervised care or services for vulnerable popula ons 

(youths ages 18 and under, adults with disabili es and 

elderly). The Bristol Recrea on Department will only 

select persons who are of good character and who have 

the skills and other qualifica ons necessary to fulfill their 

role. 

REGISTRATION INFORMATION 

You may mail in your signed registra on WITH 

payment to: Bristol Recrea on Department 

PO Box 249 Bristol, VT 05443  

 

REGISTRATION GUIDELINES 

A. Parent/Guardian signature required for youths 17 and under. 

B. REGISTER EARLY! 

C. Registra on enrollment is limited 

D. REGISTRATION DEADLINE … we mustmeet our minimum enrollment num‐

ber, one week prior to the start date of programs. 

E. If you can not make it into the office for registra on, call us and we will be 

glad to send the form(s) and informa on. 

F. Mail‐in registra on forms must be received four days prior to programs’ 

star ng dates. 

G. Fees payable at  me of registra on (CASH or CHECK). 

H. Registra on fee arrangements can be made, contact the Recrea on  

Director. 

I. Non‐residents accepted if space is available, with the addi onal out of town 

fee applied. 

J. No telephone registra ons accepted 

K. We afford equal opportunity to all people to par cipate in our programs. 

L. If you are a person with a disability and require accommoda ons, please 

contact the Recrea on Director prior to the program’s star ng date. 

M. Residents are those whose primary home is located in the Five Town area 

(Bristol, Lincoln, Starksboro, Monkton & New Haven) 

N. Please be aware that program informa on and fees are subject to change. 

O. Refunds based on refund policy. 

 

REGISTRATION LATE FEES 

Registra ons not received prior to the first day of class will be assessed a 

$15 administra on late fee. 

School Cancella ons Due to Inclement Weather 

If ANESU schools are cancelled due to inclement weather. Bristol Recrea on Department programs will also be cancelled. 

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Let it snow, Let it snow, Let it Snow!   Gather up all the crea vity you can and start building!  

Bristol Recrea on Department ‘s Snowman Building Contest 

If you think you build the best snowman in your neighborhood, then we have a contest for you. ( no yard? come to the Town Green)

From January 1st to February 28th, anytime it snows, build a snowman. ( One entry per family please) Take a picture of the builders and the snowman, include the names of all builders and contact infor-mation. (submission of a photo will also serve as permission to use the photo by the Bristol Recreation Department for our flyer,

presentations etc.)

Prizes will be awarded for The following two categories :  

Classic Snowman and Snow Sculptures. (All entries must be family friendly.) 

From March 4‐March 8 visit bristolrec.org and vote  for your favorite snowman. 

Then… 

We will announce the winners on March  

You can drop off or mail your photo to Bristol Recrea on Department, P.O.Box 249, Bristol, 

VT 05443 or email to: [email protected]. Please submit photos no later than February 

28th. Be sure to list all of the names of the creators and snowman in the picture with ad‐

dress and phone number.  Vo ng will take place on our Facebook page. 

Vaca on Open Swim 

 Monday‐ Friday,   

February 17‐21  9:30 a.m. – 12:00 p.m.  and 

Monday—Friday, 

  April 21‐25  9:30 a.m. – 12:00 p.m. 

Loca on:  Mt. Abraham Pool 

Come enjoy an exo c swim in the Mt. Abe pool dur‐

ing February and April break.  There will be music 

and fun for  all! 

Fee: $2.00   

per person  

per day 

Walk it off!

Has the snow and ice put an end to your walking program? Bristol Recreation Department would like to support residents in making healthy choices. The purpose of this program is to offer opportunities to community members who want to be physically active.

Come walk it off in Holley Hall with Darla & Val. Work out in a safe site close to your home. The building is clean, warm, and dry in all types of weather. Join us on Mondays & Wednesdays beginning Feb. 10th at noon. This is a low impact two mile walk that burns calories and strengthens your heart.

This program is FREE and open to the public!

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More classes coming soon!

Health & Wellness

Google Docs

How to sync your devices

Swing Dance

Quit Smoking

Hunter Safety

 

PARTY WITH US!

Are you looking for a place to hold that upcoming special event? We’ve got the room for you at the Holley Hall!

Whatever the occasion birthday party, meeting, wedding reception, or family get together, The space is available for residents as well as non-

residents. For more information, please visit the

bristolrec.org for an application or call the Recrea-

tion office at 453-5885.

Bristol’s Path to Wellness 

Free HBO film screening and discussion obesity epidemic * farms and food * wellness opportunities

February 5th 2014

6pm At Holley Hall in Bristol

Healthy Refreshments provided By: Addison North East Food Co-Op.

Come and learn about the Wellness opportunities right in our Community

Nutrition & Cooking, Smoking Cessation, Walking Programs,

Blueprint for Health and much more!

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Jiggity Jog 

This creative music class for children and parents combines singing and movement to develop music skills of rhythm and tonality. Come Jiggity Jog along with the fun!

Location: Holley Hall - Hall

Instructor: Susan Salas MIN/MAX: 5/20

Age Day Time Date R/NR Fee Code #

0-5 Tu 10:30-11:15A 3/4-4/1 $50/55 100101-01

 

Pee Wee Po ery 

A fun child & parent class where children rule the clay! Come join in the fun! This class meets once a week for 6 weeks.

Location: Clay Studio

Instructor: Matlakwauhti Mayforth MIN/MAX: 4/10

Age Day Time Date R/NR Fee Code # 3-5 Sa 9:30-10:30A 1/18-3/1 $65/70 100502-01 3-5 Sa 9:30-10:30A 3/8-4/12 $65/70 100502-02 3-5 Sa 9:30-10:30A 4/19-5/31 $65/70 100502-03

Mt Kenpo Karate for Kids

Master Lou and his team will emphasize to your child the importance of self-discipline, self-respect, street awareness, while learning the art of self-defense. Participants will learn kicking, punching, proper stances, locks, escapes and distance control. This class meets once a week for 6 weeks.

Location: Holley Hall - Hall Instructor: Lou Cousino MIN/MAX: 2/30

Age Day Time Date R/NR Fee Code # 5-11 Th 5:00-6:00P 1/23-2/27 $65/70 110301-01 5-11 Th 5:00-6:00P 3/6-4/10 $65/70 110301-02 5-11 Th 5:00-6:00P 4/17-5/22 $65/70 110301-03

Beginner Tap & Jazz 

Beginner Tap/Jazz class for folks 5 and up. Join Barb Demic at the Somoma Studio on Monday afternoons to learn basic tap & jazz dance steps and routines. This class will run for 5 months with a re-cital at the end. $260.00 or $52.00 per month.

Location: Sonoma Studio Instructor: Barb Demic MIN/MAX: 6/20 Age Day Time Date R/NR Fee Code # 5-7 M 4:30-5:30P 1/27-5/19 $260/265 101201-01 13-18 M 5:45-6:45P 1/20-5/19 $260/265 101201-02

Kids Classes 

Keep in touch with us at: bris‐

tolrec.org 

             and on Facebook  

A er School Po ery 

Explore the excitement and wonder of making objects in clay! Students may choose between working on the potter's wheel and hand building. All work will be glazed and fired to take home. This class meets once a week for 6 weeks. Please note: There will be no class on Feb. 18th.

Location: Clay Studio Instructor: Matlakwauhti Mayforth MIN/MAX: 4/10 Grade Day Time Date R/NR Fee Code #

1-12 Tu 3:15-4:45P 1/14-2/25 $65/70 110501-01 1-12 Tu 3:15-4:45P 3/4-4/8 $65/70 110501-02 1-12 Tu 3:15-4:45P 4/15-5/27 $65/70 110501-03 1-12 Th 3:15-4:45P 1/16-2/27 $65/70 110501-04 1-12 Th 3:15-4:45P 3/6-4/10 $65/70 110501-05 1-12 Th 3:15-4:45P 4/17-5/29 $65/70 110501-06

February Clay Camp 

What a great way to spend part of your winter break. Come to the Bristol Clay studio and use your creativity to explore the potter's wheel and or hand building to create objects in clay. The emphasis will be having fun and being creative, while learning pottery tech-niques.

Location: Clay Studio Instructor: Matlakwauhti Mayforth MIN/MAX: 4/10 Age Day Time Date R/NR Fee Code #

6-17 M-F 10:30-12:00P 2/17-2/21 $75/80 110502-01

Kids Cook! Muffin Mania  We will learn how to make a variety of snacks that can all be made in muffin tins, from muffins to mini-egg bakes to cupcakes. Each child will get to customize their own and at the end of class we'll eat what we've made and everyone will receive recipe handouts.

Location: BES

Instructor: Christa Gowen MIN/MAX: 4/8

Grade  Day  Time  Date  R/NR Fee  Code # 2‐6  W  3:15‐4:15P  2/26  $20/25  111005‐01 

Stone Soup! 

In this class we will learn basic knife skills by cutting and dicing vegetables to make "stone soup." We will collaborate together to make a delicious vegetable based soup that we will share at the end of class. Everyone will also receive recipe handouts.

Location: BES

Instructor: Staff - Christa Gowen MIN/MAX: 4/8

Grade  Day  Time  Date  R/NR Fee  Code # 

2‐6  W  3:15‐4:15P  3/19  $20/25  111006‐01 5 

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Parent Toddler Open Gym(nas cs) 

This is a parent participatory toddler class. All participants MUST preregister and no drop ins will be allowed. This is a 6 week class with no class on Feb. 22nd.

Location: BES Gym

Instructor: Amy Mayer MIN/MAX: 6/10

Age Day Time Date R/NR Fee Code #

1-3 Sa 9:00-9:50 2/1-3/15 $50/55 101301-01

Preschool Gymnas cs 

Participants will learn basic gymnastic skills and explore various equipment including balance beams, uneven bars, mini-trampoline, vault, rope and tumbling mats in a fun and safe environment.

Location: BES Gym

Instructor: Amy Mayer MIN/MAX: 6/6

Age Day Time Date R/NR Fee Code #

4-5 Sa 10:00-11:00a 2/1-3/15 $75/80 101302-01

4-5 Sa 11:00-12:00P 2/1-3/15 $75/80 101302-02

Intermediate/Advanced Gymnas cs

Participants will build on the basic skills to learn round offs, walko-vers and handsprings, and further develop skills on the balance beam, uneven bars, mini-trampoline, vault and rope. Gymnastics is great for enhancing skills that can be applied to other sports such as strength, speed, flexibility, balance, agility and body awareness.

Location: BES Gym

Instructor: Amy Mayer MIN/MAX: 5/8

Age  Day  Time  Date  R/NR Fee  Code # 

6‐18  Sa  12:00‐1:30P  2/1‐3/15  $110/115  111302‐01 

Monday Tumbling Class 

Tumbling classes are a great way to have fun and get exercise while learning new skills that can be used in both dance and other sports that require coordination, strength, balance and flexibility. Partici-pating in tumbling classes allows the opportunity to cross train for a variety of other sports and recreational activities while instilling self esteem, confidence and goal setting skills.

Location: Holley Hall - Hall

Instructor: Amy Mayer MIN/MAX: 6/10

Age Day Time Date R/NR Fee Code #

6-8 M 3:30-4:30P 2/3-3/17 $60/65 101303-01

9-18 M 4:30-5:30P 2/3-3/17 $60/65 101303-02

Intermediate/Advance Tumbling

This class is entry by instructor approval only based on skill level. There will be no tumbling classes on Feb. 17th.

Location: Holley Hall - Hall

Instructor: Amy Mayer MIN/MAX: 6/10

Age Day Time Date R/NR Fee Code #

6-18 M 5:30-6:30p 2/3-3/17 $60/65 101304-01

 

 Robo cs Workshops Robo‐bug Ever want to build your own robot?  Come build A unique robot that is as much a science project as it is a toy! The cap va ng Robug 

emits sound and moves across the floor! It's a vibra on sensa on.  

Location: Holley Hall - Hall Instructor: Matt Senecal MIN/MAX: 4/8

Grade Day Time Date R/NR Fee Code # 3-6 Tu, 2:00-4:00P 2/18 $35/40 111401-01

Propeller Racer: Green Science  Build a propeller racer and watch as it blazes a path over smooth surface. Race them in Holley Hall with your friend 

Location: Holley Hall - Hall Instructor: Matthew Senecal MIN/MAX: 4/8

Grade Day Time Date R/NR Fee Code # 3-6 Th 2:00-4:00P 2/20 $35/40 111401-02

Bring both items home!

American  Red Cross 

Babysi ng Course  

This American Red Cross certi-fied course will provide the in-formation necessary to be a competent babysitter. Students should bring a life size baby doll, notebook, pen or pencil and a water bottle.

This class will meet for 2 consecutive Sunday afternoons.

Location: Rescue Squad Mtng RM

Instructor: Carolyn Knight MIN/MAX: 0/8 Age      Day  Time  Date      R/NR Fee  Code # 

12 and up       Su  1‐5pm       3/22 & 29         $65/70                   111011‐01 

Gymnas cs 

Keep in touch with us at: bristolrec.org 

and on Facebook  

  Bristol Recrea on Department 

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Teen and Adult Programming 

Powerful Tools for Caregivers   

A six week educational program designed to help family caregiv-ers take care of themselves while caring for their spouse, relative, friend whether at home, in a care facility or from a distance. Learn exercises for your own mental health and peace of mind, as well as listen to and share your experiences as a caregiver.

The series of 6 classes meets once a week for 90 minutes. Class size is limited to 6 people and preregistration is required. This class is of-fered free however, an optional donation of $35.00 is appreciated but not required.

Living Well Care Home is located at 71 Maple Street, Bristol.

Location: Living Well Meeting Room

Instructor: John Kromer MIN/MAX: 4/6

Age  Day  Time  Date  R/NR Fee  Code # 

Adult  Tu  6:00‐7:30P  3/11‐4/15   Free  120100‐01 

AHA Adult, Child CPR 

In this class you will learn American Heart Association's CPR/AED and choking tech-niques for adults and children over 1 year of age. This is an interactive class so please dress comfortably. A certification card is issued upon successful completion of this class.

Location: Rescue Squad Meeting RM

Instructor: Sharon Compagna

MIN/MAX: 4/9

Age Day Time Date

Adult Wed 6:30-9:30P 5/21

R/NR Fee Code #

$55/60 120102-01

Pediatric First Aid  Learn basic skills and knowledge necessary to recognize and provide care for injuries and sudden illness for those 1 through adult until help arrives. A certification card is given upon successful completion of this class.

Location: Rescue Squad Meeting RM

Instructor: Sharon Compagna

MIN/MAX: 4/10

Age Day Time Date

Adult Wed 6:30-9:30P 4/30

R/NR Fee Code #

$55/60 120103-01

 

AHA Infant CPR 

In this class you will learn A.H.A. CPR tech-niques for infants. This is a great class for expectant parents, grandparents, caregivers. A certification card will be issued upon suc-cessful completion of this class.

Location: Rescue Squad Meeting RM

Instructor: Sharon Compagna

MIN/MAX: 3/6

Age Day Time Date

Adult Wed 6:30-9:30P 2/19

R/NR Fee Code #

$50/55 120105-01

Arthri s Founda on Tai Chi for 50 +

CVAA and Bristol Recreation team to bring you the Arthritis Foun-dation’s Tai Chi for Seniors! This popular program meets for 1 hour twice a week for 8 weeks. Tai Chi improves flexibility, re-duces stiffness and keeps joints mobile. Stiffness causes pain; increasing flexibility relieves pain. What's more, Tai Chi has been proven to reduce falls by an impressive 47%. This ancient disci-pline combines agile steps, physical and mental strength to im-prove mobility, breathing, and relaxation in ways that help you feel in greater control over your daily life. Classes are free but donations are gratefully accepted.

Location: Holley Hall - Hall

Instructor: Carol Hysko, Helen Turner MIN/MAX: 3/50

Age  Day  Time  Date  R/NR Fee  Code # 

Adult  M & Th  9:30‐10:30A  2/24‐4/14  Free  130100‐01 

Graduate Class Ruth Barenbaum 

Adult  M  11:00‐12:00P  1/7‐4/29  Free  130100‐02 

 

Adult & Teen Clay 

No experience necessary! Learn techniques in hand building or throwing on the potter's wheel to create functional or non-functional pottery in a relaxed, supportive class. The emphasis is on having fun. This class meets once a week for 6 weeks. Please note: There will be no class on Feb. 19 & April 23. Open Studio Mornings

Location: Clay Studio

Instructor: Matlakwauhti Mayforth MIN/MAX: 4/10

Age  Day  Time  Date  R/NR Fee  Code # Adult  W  6:00‐8:00P  1/15‐2/26  $95/100  120501‐01 Adult  W  6:00‐8:00P  3/5‐4/9  $95/100  120501‐02 Adult  W  6:00‐8:00P  4/16‐5/28  $95/100  120501‐03 

 Wednesday Morning Clay Class 

No experience necessary!

Learn basic hand building skills in the relaxing environment of the Bristol Clay Studio. Come with your own ideas or expect to be in-spired! All creations will be glazed and fired. No open studio hours for this class. No class Feb. 19 & April 23.

Location: Clay Studio

Instructor: Matlakwauhti Mayforth MIN/MAX: 5/10

Age  Day  Time  Date  R/NR Fee  Code # Adult  W  10:45‐12:15P  1/15‐2/26  $70/75  120511‐01 Adult  W  10:45‐12:15P  3/5‐4/9  $70/75  120511‐02 Adult  W  10:45‐12:15P  4/16‐5/28  $70/75  120511‐03 

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Puppy Class 

This class is for puppies who are 9 to 20 weeks old by the 2nd week of class (must have had the 1st round of puppy shots.) You will learn the basics of positive reinforcement-based obedience with a strong emphasis on relationship, management and leadership skills. Pups will learn: sit, down, come, leave it, loose leash walk-ing, and how to handle jumping, mouthing, socialization, aggression, anxiety as well as adolescent issues. Since socializing with other dogs is so critical for puppies, they will get to have supervised play with each other.

*No dogs at the first class please.* NO Class on April 21st

Location: Sonoma Studio Instructor: Caroline Engvall MIN/MAX: 3/4

Age Day Time Date

Adult Th 5:30-6:30P 1/27-3/10

Fee: $130135 Code# 120802-01

Adult Th 5:30-6:30P 3/24-5/5

Fee: $130/135 Code# 20802-02

Basic Life Skills for Dogs 

For dogs 6 months and older at the time of class.

You will learn the basics of positive reinforcement-based obedience with a strong emphasis on relationship, management and leadership skills. Dogs will learn: sit, down, come, leave it, loose leash walk-ing, and how to handle jumping, mouthing, socialization, aggression, anxiety as well as adolescent issues.

*No dogs at the first class please.*

NO Class on April 21st

Location: Sonoma Studio

Instructor: Caroline Engvall

MIN/MAX: 3/4

Age Day Time Date

Adult Th 6:45-7:45P 1/27-3/10

Fee:$130/135 Code# 120801-01

Adult Th 6:45-7:45P 3/24-5/5 Fee: $130/135 Code# 120801-02

Co‐Ed Recrea onal Volleyball 

This is an ADULTS ONLY class. Intermediate - minimum 3-4 years experience in recreational volleyball, not suggested for league players. Classic three touch volleyball. This is a fun fast-paced game with receiving, passing, setting, & smashing and is great ex-ercise! Time is subject to changed based on gym availability. No volleyball during school vacations.

Location: BES Gym

Instructor: Teri Fitzgerald MIN/MAX: 5/16

Age  Day  Time  Date  R/NR Fee  Code # Adult  W  7:00‐9:00P  1/8‐5/21  $22/22  120303‐01  

Adult Monday Night  Basketball 

This is an Adults Only class. You may drop in or attend the entire session. Basketball is a great, fun way to get in some exercise while having fun with friends and neighbors. There is no basketball during school vacations or holidays. Times are subject to change.

Location: BES Gym

Instructor: Justin Tierney MIN/MAX: 5/30

Age  Day  Time  Date  R/NR Fee  Code # Adult  M  7:30‐9:00P  1/7‐4/29  $22/22  120304‐01   

Mt Kenpo Karate‐Teen and Adult 

You will learn proper stance, punches etc. Master Lou and his team will provide additional sparing techniques, kicks, locks and more. In this class you can go as far as you choose based on your partici-pation, dedication and desire.

Location: Holley Hall - Hall

Instructor: Lou Cousino MIN/MAX: 2/30

Age  Day  Time  Date  R/NR Fee  Code # Adult  Th  6:30‐7:30P  1/23‐2/27  $65/70  120301‐01 Adult  Th  6:30‐7:30P  3/6‐4/10  $65/70  120301‐02 Adult  Th  6:30‐7:30P  4/17‐5/22  $65/70  120301‐03 

Healthy Desserts 

No "healthy dessert" is not an oxymoron - come learn how to make dishes that will feel like dessert in your mouth, buy not your waist-line! We will make chocolate tofu pie, flax oatmeal cookies and more. We'll also discuss how to modify your own dessert recipes to have a healthier spin. We will eat what we prepare and all partici-pants will leave class with recipes and handouts from the course.

Location: Mt. Abe Home Ec. Kit

Instructor: Christa Gowen MIN/MAX: 4/12

Age  Day  Time  Date  R/NR Fee  Code # Adult  W  6:00‐7:30P  2/12  $45/50  120011‐01  

Homemade Pasta 

Did you know homemade pasta is fun, easy and inexpensive to make yourself? In this class we will make basic egg noodles and explore the possibilities from there, including different flavors and shapes. We will also make ravioli and tortellini with a variety of fillings. To top it off we’ll whip up a few simple sauces and pair with our crea-tions. We will eat what we prepare and all participants will leave class with recipes and handouts from the course.

Location: Mt. Abe Home Ec. Kit

Instructor: Christa Gowan MIN/MAX: 4/12

Age  Day  Time  Date  R/NR Fee  Code # Adult  W  6:00‐7:30P  3/12  $45/50  120012‐01  

Beginner Tap for Teens and Adults  Join Barb Demic at the Somoma Studio on Monday evenings to learn basic tap & jazz dance steps and routines. This class will run for 5 months with a recital at the end. $260.00 or $52.00 per month.

Location: Sonoma Studio Instructor: Barb Demic MIN/MAX: 6/20 Age  Day  Time  Date  R/NR Fee  Code # Adult M 7:00-8:00P 1/20-5/19 $260/265 101201-03

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Bristol Recreation Dept. & Hub Teen Center P. O. Box 249, Bristol, VT 05443

www.bristolrec.org 453-5885 [email protected]

Registration Form

This form is to be used for all registrations

Households: Be sure to first fill out the Household Information on the back of this form, then fill out this form by listing the programs that you would like to register for and sign the Waiver. Mail both forms in with payment to the Recreation

Department.

Household Last Name: ________________________ Resident: Non Resident: (add $5.00 per class)

Participant’s Registration Information:

Name (First/Last) Birth Date Program Name Prog. # Fee

TOTAL ENCLOSED $

WAIVER AGREEMENT

I am fully aware of the risk(s) inherent in the above named programs and hereby give my consent for myself and/or the name(s) listed above to participate in the programs we have registered for.

I agree to hold harmless the Bristol Recreation Dept., the Town of Bristol, its employees, elected officials, and any paid or volunteer staff from any and all liabilityfrom any injury, claims, costs, or loss of service which might be incurred by participation in said programs, activities, or events.

I understand that medical insurance coverage is not provided. Permission is hereby granted for the person(s) listed on this form to receive emergency treatment, if needed, and I authorize the attending physician to administer any necessary medical attention. Furthermore, I certify that there are no limitations for the person(s) listed on this form, except as stated.

CONSENT: I hereby consent to and authorize the Bristol Recreation Department the rights to publish, reproduce, and use for advertising purposes, any photograph, video image, audio recording, or any other likeness of myself and/or my family.

I have read this document carefully and sign it voluntarily with full knowledge of its significance.

SIGNATURE:

DATE (Signature of participant is required, unless under 18 then parent or guardian must sign)  

Refunds: Refunds, minus a $5.00 administrative charge will be granted for requests made before the second class meeting. Insurance/ Liability: The department does not provide accident or hospitalization insurance for participants of this program. All participants are advised to have adequate personal coverage. Please consider your own health, experience, and tolerance for risk before participating in any programs. If you have any questions about any programs, please call the department. Financial Aid/ Scholarships: The department has limited resources; however those wishing to participate can apply for aid based on need.

Office Use Only:  Date:_________  Check #_____________   Amount Enclosed:___________  Recorded_____________

      It’s All good 

 

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The areas best known Big Band

brings it’s Music to Downtown Bristol

for 2 evenings of Dancing and Fun. Join your friends and neighbors on

February 15 And March 15

8-10pm

At Holley Hall

Admission $8 at the door

Proceeds go to the LC Jazz Scholarship Fund and Bristol Recreation Dept.

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Show her how Special she really is …

Fathers, Uncles, Grandfathers or anyone with a Special Girl is invited to spend a Semi Formal evening filled with Music, Dancing, Desserts, Prizes 

and more. 

You will always remember this Special night! Saturday, February  8  6‐7:30pm at Holley Hall 

Tickets Price $10 per couple or $15 for a family. Tickets sold in advance only at the Bristol Recrea on office. 

  

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