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FALL 2012/2013 WINTER MANCHESTER TOWNSHIP RECREATION Brochure Trick Or Trunk For Additional Information Call (732) 657-8121, ext.5102, 5101 or Fax (732) 657-9041 www.manchestertwp.com

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Page 1: FALL 2012/2013 WINTER MANCHESTER TOWNSHIP … · 2017-10-06 · FALL 2012/2013 WINTER MANCHESTER TOWNSHIP RECREATION Brochure Trick Or Trunk For Additional Information Call (732)

FALL 2012/2013 WINTER

MANCHESTER TOWNSHIP

RECREATION

Brochure

Trick Or Trunk

For Additional Information Call (732) 657-8121, ext.5102, 5101

or Fax (732) 657-9041

www.manchestertwp.com

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2

IINNDDEEXX

PPaaggee 33……………………………………………….... MMaayyoorr’’ss LLeetttteerr

PPaaggee 44……………………………………………….... PPhhoonnee DDiirreeccttoorryy PPaaggee 55……………………………………………….... MMiisscc.. TToowwnnsshhiipp IInnffoorrmmaattiioonn

PPaaggee 66……………………………………………….... YYoouutthh BBaasskkeettbbaallll PPaaggee 77……………………………………………….... SSoocccceerr;; WWrreessttlliinngg;; MMaadd SScciieennccee PPaaggee 88………………………………………………...... MMuussiiccaall TThheeaattrree;; GGoollff;; AAvviiaattiioonn CClluubb

KKuumm SSuunngg MMaarrttiiaall AArrttss

PPaaggee 99………………………………………………...... DDaannccee ((AAggeess 33 ~~ 1122))

PPaaggee 1100……………………………………………….. BBoowwlliinngg;; AAdduulltt AAeerroobbiiccss;; AAdduulltt ZZuummbbaa AAdduulltt GGoollff;; AAdduulltt BBaasskkeettbbaallll;; AAdduulltt VVoolllleeyybbaallll

PPaaggee 1111……………………………………………….... HHaayyrriiddee//TTrriicckk oorr TTrruunnkk PPaaggee 1122……………………………………………….... AAnnnnuuaall TTrreeee LLiigghhttiinngg CCeerreemmoonnyy PPaaggee 1133……………………………………………….... EEaasstteerr EEgggg HHuunntt

PPaaggee 1144……………………………………………….... AAdduulltt RReeggiissttrraattiioonn FFoorrmm PPaaggee 1155……………………………………………….... YYoouutthh RReeggiissttrraattiioonn FFoorrmm

AALLLL pprrooggrraammss hhaavvee aa mmiinniimmuumm aanndd aa mmaaxxiimmuumm..

Refund Policy:

Refunds will NOT be issued once a program starts. Refunds will NOT be issued for one

day events.

Requests for refunds must be made in writing at least 5 business days (M-F) before a

program begins. Written request must include all pertinent information (i.e. – participant

name; parent/guardian name; address; phone #; program; reason for requesting a refund).

Full refunds are granted in the event a class is full or cancelled by the Recreation

Department. ALL refunds will follow the Finance Department’s bill paying schedule and

will be issued by township check (no cash refunds). Allow 4~6 weeks for refund to be

processed.

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3

MMaanncchheesstteerr TToowwnnsshhiipp

11 CCoolloonniiaall DDrriivvee MMaanncchheesstteerr,, NNeeww JJeerrsseeyy 0088775599

732-657-8121

Michael Fressola

Mayor

September 10, 2012

Dear Friends and Neighbors,

The goal of the Manchester Township Department of Recreation is to offer the residents of

Manchester worthwhile activities that will enhance the quality of life regardless of age and

provide an abundance of program offerings.

A multitude of opportunities for all residents to enjoy are provided in this Fall/Winter

Recreational Brochure. Whether your interest is recreation, gymnastics, performing arts, or

athletics, the department offers something for everyone.

Your Municipal Government and the Department of Recreation are committed to providing

the residents with the greatest number and highest quality programs possible.

Please read the brochure, keep it handy, and if you haven’t done so, come join the large

numbers of residents who have participated in the past.

Enjoy, as the benefits are endless!

Sincerely,

Mayor Fressola

Michael Fressola

Mayor

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MAYOR Michael Fressola

COUNCIL PRESIDENT Craig Wallis

COUNCIL VICE-PRESIDENT Brendan Weiner

COUNCIL MEMBER Sam Fusaro

COUNCIL MEMBER Warren Reiter

COUNCIL MEMBER Fred Trutkoff

BUSINESS ADMIN. Elena Zsoldos

RECREATION OFFICE MGR. Cassandra Colgate

PHONE DIRECTORY

Manchester Township…………………………...……………….732-657-8121

Recreation Department……………………………..……..732-657-8121

Public Works……………………………………………….732-657-8121

Police Department (non-emergency)……………………...732-657-2009

Boy Scouts…………………………………..……………………..732-349-1037

Chamber of Commerce………………………….………………..732-349-0220

Cub Scouts…………………………………………….……….. …732-341-6558

Drug Hotline……………………………………………….………732-657-4357

First Aid (non-emergency) Manchester………………………….732-657-9098

Whiting……….……………………..732-350-4444

Girl Scouts…………………………………………………………732-349-4499

Girls Softball………………………………………………………732-323-0404

Island Beach State Park………………………………………. …732-793-0506

Lakewood BlueClaws……………………………………………..732-901-7000

Little League Baseball/Girls Softball (www.manchesterbaseball.net) ….732-341-8320

Manchester Township Board of Education……………………..732-350-5900

Municipal Alliance…………………………………………732-657-8121x3010

Ocean County Health Department…………………………… …732-341-9700

Ocean County Parks Main Office……………………………. …732-506-9090

PAL Hotline……………………………………………………. …732-657-7876

Pop Warner Football (www.manchesterhawkspopwarner.com)............... …732-330-1410

Soccer (LMSA ~ http://eteamz.active.com/lmsa/index.cfm)..............…732-323-0337

U.S. Sports Institute (www.ussportsinstitute.com)......................... …732-563-2520

SPECIAL THANKS TO THE BOARD OF EDUCATION The Department of Recreation wishes to thank the Board of Ed. for their support in sharing their facilities. The use

of specific public school sites for recreation programs is contingent upon approval of the School Administration.

Programs will not be conducted at school sites when schools are closed for holidays and snow days.

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WHO AND WHERE? The Recreation Building (1

st bldg. on right):

Manchester Twp. Municipal Complex

1 Colonial Drive

Manchester, NJ 08759

Recreation #: (732) 657-8121, ext. 5101/5102

Fax #: (732) 657-9041

Email: www.manchestertownshipnj.org

AUTOMATED PHONE SYSTEM Please call 657-8121, ext. 5594, or 5595 for bus

trips, 5596 for special events, 5597 for

cancellations, or 5598 for directions to Harry

Wright Lake ONLY BEFORE OR AFTER

BUSINESS HOURS (8:30 a.m.- 4:00 p.m.).

CANCELLATION POLICY Please call 657-8121, ext. 5597 for the

cancellation or rescheduling of the Recreation

Programs ONLY BEFORE OR AFTER

BUSINESS HOURS (8:30 a.m. - 4:00 p.m.).

CIVIC CENTER The Civic Center Meeting Room may be

reserved by Civic Organizations for meetings

when available. Located in the Municipal

Complex, the room seats 160 persons. Call

657-8121, ext. 3310 to reserve.

SECRET WITNESS PROGRAM The Parks and Recreation Department is

extremely proud of its “Secret Witness

Program”. While the Township is very

fortunate that vandalism is confined to isolated

incidents, it is still very costly and time

consuming to make repairs. Observers of

vandalism should call 657-6111. The caller

will remain anonymous.

OUR MISSION The Department of Recreation is committed to

providing exceptional services, recreational

programs and opportunities for Manchester

Residents.

M. M. A. C. The Manchester Municipal Alliance

Committee on alcohol and drug abuse

prevention and youth services (M.A.C.)

currently operates several substance abuse

prevention activities.

Volunteers needed. New members are welcome.

Meetings are the last Tuesday of every month,

7:00 p.m. in the Town Hall Civic Center.

PAL Manchester PAL is a volunteer organization

dedicated to providing recreation and sport

activities for young people. For information,

please call 657-7876.

LMSA~Soccer LMSA meetings are the 1st Tuesday of every

month in The Manchester Town Hall Civic

Center @ 7:00 pm. For information, call 732-

323-0337 or send a letter to LMSA, PO Box 11,

Lakehurst, NJ 08733 (www.eteamz.com/lmsa).

Registration forms are available at the

Manchester Library on Colonial Drive.

SEASONAL EMPLOYMENT OPPORTUNITIES

* Badge Sellers * Counselors

* Lifeguards * Program Instructors

* Supervisors * Bus Drivers

For further information, please contact the

Recreation Department @ 657-8121, ext. 5101.

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YOUTH PROGRAMS

GIRLS JR. BASKETBALL

When: Week of Nov. 5 ~

Week of Feb. 25

7:30~8:30 p.m.

Mon., Thurs., Fri.

or 1 hr. on Saturday

Where: Ridgeway (until further notice)

Instructor: Jim Peterson

Fee: $50

Games and practices. Overlap may occur pending skill

level. Participants receive team shirt and trophy.

Coaches needed!

BOYS JR. BASKETBALL

When: Week of Nov. 5 ~

Week of Feb. 25

6:30~7:30 p.m.

Mon., Thurs., or Fri.

or 1 hr. on Saturday

Where: Ridgeway (until further notice)

Instructor: Jim Peterson

Fee: $50

Games and practices. Overlap may occur pending skill

level. Participants receive team shirt and trophy.

Coaches needed!

BIDDY BASKETBALL

Who: Grades 3 & 4

When: November 10 ~ February 16

Saturdays, 9:00 a.m. ~ 3:00 p.m. (1 hr. per team pending schedule)

Where: MTES

Instructor: Jim Peterson

Fee: $50

Team play & skill development using adapted versions of

drills and games. Participants receive team shirt and

trophy. Coaches needed!

GIRLS SR. BASKETBALL

When: Week of Nov. 5 ~

Week of Feb. 25

7:30 ~ 8:30 p.m.

Mon., Thurs., or Fri.

or 1 hr. on Saturday

Where: Ridgeway (until further notice)

Instructor: Jim Peterson

Fee: $50

Games and practices. Participants receive team shirt

and trophy. Coaches needed!

BOYS SR. BASKETBALL

When: Week of Nov. 5 ~

Week of Feb. 25

8:30~9:30 p.m.

Mon., Thurs., or Fri.

or 1 hr. on Saturday

Where: Ridgeway (until further notice)

Instructor: Jim Peterson

Fee: $50

Games & practices. Participants receive team shirt and

trophy. Coaches needed!

Requests for player placement will be

limited to siblings. We need to keep teams

as equal as possible to be fair to all players.

Juniors & Seniors (Grades 5 ~ 9):

Program is limited to 40 players max.

@ each level.

Placement will be determined pending

draft.

Biddy (Grades 3 & 4):

Division is limited to 60 players max.

Programs at school sites are cancelled when

schools are closed for holidays, inclement weather

or when a school function is scheduled.

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Sess. 1 at Ridgeway School:

YOUTH PROGRAMS

TINY TOT SOCCER

Who: Grades K ~ 3

When: March 5 ~ March 28

Tues. & Thurs.

Gr. K ~ 1 @ 6 ~ 7 p.m. (25 max.)

Gr. 2 ~ 3 @ 7 ~ 8 p.m. (25 max.)

Where: Middle School

Instructor: TBD

Fee: $25

An instructional activity designed for the

beginner. An adapted version of skills, games and

fun.

INDOOR SOCCER

Who: Grades 4 & 5

When: March 5 ~ March 28

Tues. & Thurs.

8:00 ~ 9:00 p.m.

Where: Middle School

Instructor: TBD

Fee: $25

Skills acquired through games and drills.

WRESTLING

Who: Grades 1 ~ 8

When: Monday, Nov. 26 ~ Feb. 4, 2013

5:30 ~ 6:30 Gr. 1 ~ 4 (30 max.)

6:30 ~ 7:30 Gr. 5 ~ 8 (30 max.)

Where: TBD

Instructor: Bill Meaney

Fee: $45

MAD SCIENCE

Who: Gr. K - 2

When Wed. 10/10-12/5

3:30 – 4:30

Who: Gr. 3 - 5

When: Thurs. 10/11-12/13

3:30 – 4:30

Who: Gr. K - 2

When Wed. 2/06/13-4/03/13

3:30 – 4:30

Who: Gr. 3 - 5

When: Thurs. 2/07/13-4/04/13

3:30 – 4:30

Who: Gr. K - 2

When Wed. 10/10-12/5

3:35 – 4:35

Who: Gr. 3 - 5

When: Thurs. 10/11-12/13

3:35 – 4:35

Who: Gr. K - 2

When Wed. 2/06/13-4/03/13

3:35 – 4:35

Who: Gr. 3 - 5

When: Thurs. 2/07/13-4/04/13

3:35 – 4:35

Fee: $95/pp per session

This 8-week program offers hands on science fun

& activities. All children will receive a take

home project and summary sheet to extend their

learning to home. Classes include: Chem in a

Flash, Dry Ice Capades, Glow Show, Junior

Reactors, Lab Works, pH pHactor, Slime Time,

and Super Sticky Stuff.

Programs at school sites will be cancelled when schools are closed for holidays, inclement

weather or when a school function is scheduled.

Sess. 2 at Ridgeway School:

Sess. 1 at Whiting School:

Sess. 2 at Whiting School:

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MUSICAL THEATRE

Who: Gr. 3 ~ 12

When: Mondays

7:00 ~ 8:30 p.m.

Oct. 15, 22, 29

Nov. 5, 19, 26, Dec. 3

Where: Town Hall Civic Center

Director: Krystyna Hubbard

Fee: $30

Explore elements of singing, dancing, and acting

as you learn scenes and songs from broadway-

style shows.

GOLF

Who: Jr. Golf Clinic Ages 6~16

When: Saturday & Sunday

Oct. 6th & Oct. 7th

3:00 ~ 5:00 p.m.

Fee: $55

Location: Eagle Ridge Golf Club

2 Augusta Blvd.

Lakewood, NJ

All golf clinics open to beginners with no

previous exp. & equipment will be provided for

those who do not have golf clubs.

KUM SUNG MARTIAL ARTS

Who: Karate (Tae Kwan Do)

Ages 2 ~ 4 6:00~6:30 p.m.

Ages 5 ~ 8 6:30~7:00 p.m.

Ages 9 ~ 12 7:00~7:45 p.m.

Ages 13 & Up 7:45~8:30 p.m.

When: Mondays @ MTES (until further notice)

Session: 12/03~03/04/13 (no class12/24, 31, 1/21, 2/18)

Session: 03/18~06/10/13 (no class 3/25, 4/1, 5/27)

Session: 06/24~08/26/13

When: Tuesdays @ Whiting School

Session: 11/20~02/05/13 (no class 12/25, 1/1)

Session: 02/19~04/30/13 (no class 3/26)

Session: 05/14~07/16/13

Instructor: Manny Rivera

Fee: $65/per session (Sessions are based on school availability)

AVIATION CLUB (Hobby Quest)

Who: Ages 7 ~ 12

When: Thurs., 3:30 p.m. ~ 4:30 p.m.

Oct. 18, 25, Nov. 1, 8

Where: Town Hall Civic Center

Fee: $58

This 4-week program specializes in the science of

flight. You will create from scratch, fly and take

home your own model plane. All materials

needed to support the program are included.

YOUTH PROGRAMS

Programs at school sites will be cancelled when schools are closed for holidays, inclement weather or when a

school function is scheduled.

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DANCE CLASSES AGES 3 ~ 12

TINY DANCERS (BALLET/ACROBATICS)

Who: Ages 3 ~ 5

When: Tuesdays 5:00 ~ 5:45 p.m.

Oct. 9, 16, 23

Instructor: Corinne Ponzio

Fee: $45

TINY DANCERS (BALLET/TAP)

Who: Ages 3 ~ 5

When: Wednesdays 4:45 ~ 5:30 p.m.

Oct. 10, 17, 24

Instructor: Courtney Pett

Fee: $45

JAZZ

Who: Ages 5 ~ 9

When: Thursdays 4:45 ~ 5:30 p.m.

Oct. 11, 18, 25

Instructor: Courtney Pett

Fee: $45

ACROBATICS

Who: Ages 6 ~ 12

When: Mondays 4:45 ~ 6:15 p.m.

Oct. 8, 15, 22

Instructor: Courtney Pett

Fee: $50

HIP HOP

Who: Ages 6 ~ 12

When: Mondays 6:15 ~ 7:00 p.m.

Oct. 8, 15, 22

Instructor: Dawn Toledo

Fee: $45

ALL DANCE CLASSES ARE AT: Avenue to Broadway, LLC 7 Union Avenue, Lakehurst

732-323-3232

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GOLF

Who: Introduction To Golf

(coed/adults)

When: Thursdays 5:00 ~ 6:00 p.m.

Oct. 4, 11, 18, 25

Fee: $55

Location: Eagle Ridge Golf Club

2 Augusta Blvd.

Lakewood, NJ

All golf clinics open to beginners with no previous exp.,

& equipment will be provided for those who do not

have golf clubs.

AEROBICS & ZUMBA

Who: COED Adults

When: Tues. & Thurs.

Session: Sept. 4 ~ Nov. 8, 2012

Session: Nov. 13 ~ Feb. 7, 2013

Where: Town Hall Civic Center

Instructor: Rosie O’Donnell

Aerobics Fee: $45/per session 5:15 ~ 6:15 p.m.

Zumba Fee: $45/per session 6:15 ~ 7:00 p.m.

BASKETBALL~OPEN COURT

Who: Adults 18 & UP

(Manchester Residents Only)

When: Wed., 6:30 p.m. ~ 8:30 p.m.

Oct. 10 ~ Feb. 27

Where: Ridgeway School

Instructor: Rich Erving

Fee: $25

COED VOLLEYBALL

When: Wed. 8:00 ~ 10:00 p.m.

Fri. 7:00 ~ 10:00 p.m.

September 12 ~ May 10

Where: MTES

Contact: Nick Rosatelli

BOWLING

Who: Boys & Girls

Ages 5~14

When: Saturdays, 11:15 a.m.

Sess 1: 12 weeks beginning Sept. 15th

Registration ends Sept. 14th – walk-ins accepted

Sess 2: 12 weeks beginning Jan. 5th

Registration ends Jan. 4th – walk-ins accepted

Fee: $8/per child

Payable @ Bowling Center

Who: Adult/Youth Teams

(Parent/Guardian & child)

When: Saturdays, 11:15 a.m.

Sess 1: 12 weeks beginning Sept. 15th

Registration ends Sept. 14th – walk-ins accepted

Sess 2: 12 weeks beginning Jan. 5th

Registration ends Jan. 4th – walk-ins accepted

Fee: $16/per team

Payable @ Bowling Center

Who: Adult/Youth Teams

(Parent/Guardian & child)

When: Sundays, 6:30 p.m.

Sess 1: 12 weeks beginning Sept. 16th Registration ends Sept. 15th – walk-ins accepted

Sess 2: 12 weeks beginning Jan. 6th

Registration ends Jan. 5th – walk-ins accepted

Fee: $16/per team

Payable @ Bowling Center

Location: Brunswick Lakewood Lanes

101 Locust St. (Rt. 70)

Lakewood, NJ

732-364-8080

SENIOR VOLLEYBALL

When: Mon./Wed./Thurs.

7:00 ~ 9:00 p.m.

September 10 ~ May 09

Where: Whiting School

Contact: Robert Fellegara

PROGRAMS & ACTIVITIES

FOR ALL AGES

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Sponsored by Municipal Alliance

& Manchester Township Recreation

Hitch a hayride from MTHS Main Entrance to the parking lot for

“Trick or Trunk” (Trunks Needed)

$50 Cash Prize for Best Trunk Friday, October 19th from 7:00 - 9:00

(rain date Sat., Oct. 20th) $2.00 per person

For more information call 732-657-8121,

ext.3901.

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Manchester Township’s

Annual Tree Lighting Ceremony

Start the holiday season

By celebrating with us at our annual tree lighting ceremony!

Join us at the Court House Entrance At 7:00 p.m.

Friday, December 7th, 2012 Holiday Songs

Picture with Santa Claus Receive a goody bag

All Are Welcome!

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This event, held at Pine Lake, brings children loads of fun as they hunt for eggs,

prizes & visit with the Easter Bunny. Sunday, March 24th @ 10:00 a.m.

(rain or shine) Ages 2 – 10

Pre-registration is required! Call Rec. @ 657-8121, ext. 5102 or 5101.

You MUST be registered by Monday, March 18th (250 children max).

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ADULT REGISTRATION FORM MANCHESTER TWP. RECREATION DEPT.

FALL/WINTER 2012/2013 Programs are on a first come first serve basis.

Resident mail in registrations are accepted immediately (before walk-ins). Please mail entire registration form (do not cut).

MAIL IN REGISTRATION BY 10/08/12 WALK IN REGISTRATION:

Mail check & form to: Recreation Dept. Recreation Building @ Municipal Complex

Manchester Twp. Monday, Sept. 24 ~ Friday, Oct. 5, 2012

1 Colonial Drive 10:00a.m.– 3:00 p.m.

Manchester, NJ 08759 _______________________________________________________________________________________________________________________________

The Department of Recreation reserves the right to cancel, change or postpone any program, trip or activity.

Make checks Payable to Manchester Township. NO REFUNDS will be issued once a program is in

session. All fees are to defray administrative costs. There is a $20 charge for any returned check.

ONE FORM PER PARTICIPANT ~ PHOTO COPIES ARE ACCEPTED

________________________________________________ ______________________________________ Female Male

PRINT - Participant’s LAST Name FIRST Name (circle one)

_____________________________________________________________________________________________________

Street address Town State Zip

_________________________ ______________________ ___________________ ___________________________ Participant Home Phone # Participant Work Phone # Participant Cell # Other

_________________________ ______________________ ___________________ ___________________________ Emergency Contact Name Emergency Home Phone # Emergency Cell Phone # Emergency Cell Phone #

List any medical condition_______________________________________________________________________________

CHECK all programs that you wish to participate in:

PLEASE NOTE: 1 check for programs with * & 1 check for all others.

ADULT PROGRAMS

*___ $55 - Golf (Intro/CoEd)

___ $25 - Adult Basketball (18&up)

___ $45 - Aerobics (CoEd) Sess. (Sept.04-Nov.08, 2012)

___ $45 - Aerobics (CoEd) Sess. (Nov.13-Feb .07, 2013)

___ $45 - Zumba (CoEd) Sess. (Sept.04-Nov.08, 2012)

___ $45 - Zumba (CoEd) Sess. (Nov.13-Feb. 07, 2013)

In case of an emergency, I understand that every effort will be made to contact me. In the event that I cannot be

reached, I hereby give my permission to the hospital and attending physician selected by Manchester Township to take

any necessary action, including surgery, anesthesia, or injections, that is in the best interest of my child.

Due to the strenuous nature of some activities, registrants should consult a physician prior to participation. It is

the responsibility of the participants to inform the Recreation Dept. of any disabilities which may limit his/her

participation in a program. Please note that participants assume the responsibility of all reasonable risks which may exist

due to participation in Manchester Township sponsored programs.

Participant Signature_________________________________________________________ Date ____________

≈≈≈≈≈≈≈FOR RECREATION OFFICE USE ONLY ~ DO NOT WRITE BELOW THIS LINE≈≈≈≈≈≈≈

Township Rep.’s initials: ____ Check #_________Total Received $_________ Receipt #________ ( C or T )

____ Check # _________Total Received $_________ Receipt #________ ( C or T )

____ Check # _________Total Received $_________ Receipt #________ ( C or T )

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YOUTH REGISTRATION FORM FALL 2012~WINTER 2013

MANCHESTER TWP. RECREATION DEPT. Programs are on a first come first serve basis.

Resident mail in registrations are accepted immediately (before walk-ins). Please mail entire registration form (do not cut).

MAIL IN REGISTRATION BY 10/08/12 WALK IN REGISTRATION:

Mail check & form to: Recreation Dept. Recreation Building @ Municipal Complex

Manchester Twp. Monday, Sept. 24 ~ Friday, Oct. 5, 2012

1 Colonial Drive 10:00a.m.– 3:00 p.m.

Manchester, NJ 08759 _______________________________________________________________________________________________________________________________

The Department of Recreation reserves the right to cancel, change or postpone any program, trip or activity.

Make checks Payable to Manchester Township. NO REFUNDS will be issued once a program is in

session. All fees are to defray administrative costs. There is a $20 charge for any returned check.

ONE FORM PER PARTICIPANT ~ PHOTO COPIES ARE ACCEPTED

______________________________ __________________________ Female Male ____ __________ _________

PRINT - Participant’s LAST Name FIRST Name (circle one) Age DOB Grade

_____________________________________________________________________________________________________

Street address Town State Zip

________________________ ____________________ ___________________ ____________________________

Mother/Guardian Home Phone # Work Phone # Cell # ________________________ ____________________ ___________________________________________________

Father/Guardian Cell or Work# Emergency Contact Name Phone Number Relation

List any medical condition_______________________________________________________________________________

Shirt Sizes/Circle One (does not apply to all programs): YS (6-8); YM (10-12); YL (14-16); AS; AM; AL; AXL

PLEASE ~ 1 check for programs with * & 1 check for programs without.

YOUTH PROGRAMS YOUTH PROGRAMS YOUTH PROGRAMS

___ $50 - Biddy Basketball (Gr. 3 & 4)

___ $50 - Boys Basketball (Gr. 5 ~ 9)

___ $50 - Girls Basketball (Gr. 5 ~ 9)

___ $45 - Wrestling (Gr. 1 ~ 8)

___ $30 - Musical Theatre (Gr. 3~12)

___ $25 - Indoor Soccer (Gr. 4 & 5)

___ $25 - Tiny Tot Soccer (Gr. K ~ 3)

*$95 - Mad Science (Gr. K ~ 5)

* ___ Sess. 1: Whiting or Ridgeway

* ___ Sess. 1: Whiting or Ridgeway

*$65 - Kum Sung Martial Arts (2 +)

* ___ Sess. 1: Whiting or MS

* ___ Sess. 2: Whiting or MS

* ___ Sess. 3: Whiting or MS

*___ $45 - Tiny Dancers (Ballet/Acro 3-5)

*___ $45 - Tiny Dancers (Ballet/Tap 3-5)

*___ $45 - Jazz (Ages 5 ~ 9)

*___ $50 - Acrobatics (Ages 6 ~ 12)

*___ $45 - Hip Hop (Ages 6 ~ 12)

*___ $55 - Golf (Ages 6 ~ 16)

*___ $58 - Aviation Club (Age 7~12)

In case of an emergency, I understand that every effort will be made to contact me. In the event that I cannot be

reached, I hereby give my permission to the hospital and attending physician selected by Manchester Township to take

any necessary action, including surgery, anesthesia, or injections, that is in the best interest of my child.

Due to the strenuous nature of some activities, registrants should consult a physician prior to participation. It is

the responsibility of the participants to inform the Recreation Dept. of any disabilities which may limit his/her

participation in a program. Please note that participants assume the responsibility of all reasonable risks which may exist

due to participation in Manchester Township sponsored programs.

Parent/Guardian’s Signature_________________________________________________ Date ______________

≈≈≈≈≈≈≈FOR RECREATION OFFICE USE ONLY ~ DO NOT WRITE BELOW THIS LINE≈≈≈≈≈≈≈

Township Rep.’s initials: ____ Check #_________Total Received $_________ Receipt #________ ( C or T )

____ Check # _________Total Received $_________ Receipt #________ ( C or T )

____ Check # _________Total Received $_________ Receipt #________ ( C or T )

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Resident Mail~In Registration Deadline FOR ALL PROGRAMS Mon., Oct. 8th, 2012

Recreation Department Manchester Township

1 Colonial Drive Manchester, NJ 08759

Walk~In Registration:

Mon., Sept. 24th ~ Fri., Oct. 5th 10:00 a.m. ~ 3:00 p.m.