Click below on Sign-Up Sheet to print out the Recreation Activity form.  Fill form out completely and mail it in to 51 Depot Street, Suite 108, Watertown, CT 06795 with a check payable to the Watertown Recreation. 

The Watertown Recreation will take registrations on a first come first served basis unless the program has been filled to capacity.  Refunds will be given 2 weeks before the activity begins unless you have a doctors note.  There will be a $5.00 processing fee for each activity.  You will only be notified if the class is cancelled.  For further questions you can call the Recreation office at 860-945-5246.

Registration Sign-Up Sheet for all Program and Activities at the Watertown Recreation Department.  

 Watertown Recreation Department.  

SIGN UP SHEET

Participants Name:____________________________________________________________________

                                                            (Please Print)

Street:  ____________________________ Town:  __________________ State:  ______ Zip:  ________

Telephone:  (days)  __________________  (nights)_____________ ________Cell___________________

E-Mail Address for mailing list:___________________________________________________________

Emergency Name & Contact #  ___________________________________________________________

Date of Birth:  ___________________   Age:  ____________  Grade:  ______________   Sex: F or M

Allergies:/Special Needs:  _______________________________________________________________

Program(s) Registration:

PROGRAM CODE	PROGRAM TITLE	FEE	SESSION #	LOCATION

ACKNOWLEDGEMENT AND WAIVER

You are required to read the following information very carefully and make sure that you understand it fully and sign it before participating in this program.

I am fully aware that the activity and program I am choosing to participate in may result in risk of injury or harm.  On my own behalf, and on behalf of my own personal representatives and heirs, successors and assigns, I hereby release, indemnify and save harmless the Town of Watertown, its officers, employees, designees, consultants, agents and directors (hereinafter representatives) from all claims and liability of whatever nature arising from any act, omission or negligence or otherwise of the Town of Watertown or its representatives, including any injury to any person or any property of any person.  This indemnification and hold harmless agreement shall include indemnity against all costs (including without limitation, reasonable attorney’s fees and court costs), expenses and liabilities incurred in, or in connection with, any such claim or proceeding brought thereon and in defense thereof.

I have read and understand this release, indemnification and hold harmless form.  I voluntarily sign it and hereby give permission for the Town of Watertown staff to administer basic first aid and or seek appropriate medical assistance for the participant listed below.

Participant Signature (if 18 or over):  _______________________    Date:  ________________________

Parent/Guardian Name: (Please Print):  _____________________________________________________

Parent/Guardian Signature:  _________________________________ Date:  ______________________

(Required if participant is 18 years of age or younger)