fall 2012/2013 winter manchester township … · 2017-10-06 · fall 2012/2013 winter manchester...
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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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PPaaggee 1144……………………………………………….... AAdduulltt RReeggiissttrraattiioonn FFoorrmm PPaaggee 1155……………………………………………….... YYoouutthh RReeggiissttrraattiioonn FFoorrmm
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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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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 )
15
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 )
16
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.