MAIL-IN REGISTRATION FORM
For Parks and Recreation Activities/Events Only
CLYBSA forms will be Available at registration
NAME(S)_______________________________________________________
ADDRESS______________________________CITY___________________ZIP______________
PHONE (day) (____)_________________ evenings (____)_______________________
| CIRCLE ONE: | RESIDENT | NONRESIDENT |
PROGRAM NAME________________________PROGRAM DATE(S)______________________
TIME_____________ COST________________ TOTAL ENCLOSED_______________________
Please make check or money order (do not send cash) payable to: City of Center Line
MAIL TO:
Center Line Parks and Recreation
REGISTRATION
25355 Lawrence Blvd.
Center Line, MI 48015
Registration is taken on first-come, first served basis. If
program is full upon receipt of mail-in registration, your fee will be returned.
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By accepting my registration in the above programs, I hereby understand that I release my rights or claims for damages I may have against the City of Center Line through which this program is conducted or its Instructor or City staff. Signature (guardian for minors)________________________________________________________ |