Page 7 - Springettsbury Township News - Fall 2020

Fall 2020 page 7

General Information

Notice to Participants Pavilion Use
Participants must recognize that all programs involve some Use of all picnic pavilions is on a first come, first served basis;
level of risk and by registering for a program there is an however, please be advised that permit holders and Township
assumption of risk by the participant. Springettsbury Township sponsored events receive first priority use.
is committed to providing safe facilities and qualified staff. Picnic pavilions can be reserved at the Township Offices
Individual accident/medical insurance for participants is not located at 1501 Mt. Zion Road The office is open Monday
provided by Springettsbury Township. through Friday from 8 a.m. to 5 p.m. You can access the
pavilion rental application and policy from our website.
Athletic Field Use Reservations will only be accepted in person at the Township
Local youth and adult sports organizations interested in Offices. Please refer to the park locations and rules on page 8
using Township athletic fields for practice or game purposes for further information.
must participate in the facility allocation process. The
process of reserving facilities occurs just twice a year. Picnic Pavilion Rental Fees
Meetings are held in February for the spring/summer sports (Pavilions are available from dawn to dusk)
season and in July for the fall sports season. The Facility Weekday Rental
Allocation Policy is available on the Township Website Resident: $25 permit fee/Non Resident: $40 permit fee
at www.springettsbury.com. For further details regarding
this process please contact the Parks and Recreation Weekend Rental
Department at 717-505-0406. Resident: $35 permit fee/Non Resident: $60 permit fee

✂
Registration Form

Participant Name ____________________________________ D.O.B. ________/________/________ Male/Female/Undisclosed (circle one)
Address _______________________________________________________________________ Apt #: ______________________________
City_____________________________________ Zip:_____________ Email Address: ___________________________________________
Cell Phone: _________________________________________ Alternate Phone: __________________________________________________
Name of parent or guardian (if minor): ___________________________________________________________________________________
Emergency Contact Name Phone Number Relationship

If you are a non-resident, please add an additional $5 per course/activity.
Participants DOB Activity R/NR Fee
Self N/A $
$
$
$
$
$

Wavier of Liability: I, the above named candidate for participation in the above named activity, hereby, waive any claim for bodily injury or property damage
against the Springettsbury Township Recreation Department, its agents, servants and/or employees while a participant in the above named activity.
Refund Policy: No cash refunds. Refunds will be by Township check and will be paid in accordance with the Finance Department’s regular payment schedule
(up to 4 weeks). Full refunds will be issued for classes canceled by the Township. Full refunds will only be issued for requests received prior to the start of a
class. No refund will be granted after the start of a class except in the case of injury or illness. Written documentation from a physician will be required. Refunds
for trips will only be issued if you find a replacement or if the trip is canceled by the Township. Please check with us because we may have a waiting list.
Registration form and payment can be mailed to: Springettsbury Township Parks & Recreation, 1501 Mt. Zion Road, York, PA 17402. Checks should be made
payable to Springettsbury Township; credit cards are not accepted at this time.
___________________________________ _______________ Total Payments $ ___________
Signature of Participant or Parent/Guardian Date
FOR OFFICE USE ONLY – DO NOT WRITE BELOW THIS LINE
Date Check # Cash Receipt # Initials