Village of Caledonia

2015 Summer Park Program

Monday, June 29th to Friday, August 14th

Ashley Cummings, Recreation DirectorBetty McClenney, Recreation Chair

Debbie Davis, Mayor

*Designed by Ally Walker

Happy Summer!

Welcome to Caledonia Recreation! My name is Ashley Cummings and I am the Recreation Director for the Village of Caledonia. This will be my seventh year working with the Recreation Program and my fifth year working as Recreation Director. I was born and raised in Caledonia, graduated from CMCS in 2007, and still live in Caledonia today! :) In July 2012, I graduated from Nazareth College of Rochester with my Master’s degree in Inclusive Childhood Education and outside of the Recreation Program, I teach third grade at Letchworth Elementary School.

Growing up, I loved attending Hamilton and Washburn Parks. While we still play many of the favorite traditional games, we also engage in various other activities, hold multiple special events, and take numerous exciting field trips! Many events, excluding field trips, are provided free of charge to youth! All events and activities are explained in detail within this booklet.

The phenomenal Recreation Staff work hard to provide our youth with engaging, exciting activities Monday through Friday, from 9 am - 4 pm! In order to maintain a safe and fun environment, my Staff and I expect that all children act safely, respectfully, and responsibly during their time at the Caledonia Recreation Program. In this way, Staff can assure that youth have the best experiences possible while at the Park. Please note that Staff cannot monitor which children come and go through the Park entrances. During Park hours youth are free to come and go as they please. As the Parks close due to severe weather, please ensure that your child is picked up if it is thundering or lightening.

Please feel free to contact me with any questions. I can be reached at 538-4181, or many days you can find me at the parks! My Staff and I look forward to helping your children make some wonderful memories this summer!

Sincerely,

Ashley Cummings

Meet Our Stupendous Staff!Supervisor Alex Hall

Supervisor Jacquie Carson SIT Ryan Bulter

Supervisor Jon Cappotelli Supervisor Steph Pullyblank

SIT Everett Geiger

*SIT - Supervisor-In-Training

Hamilton ParkAges 5 +

Church Street Open Monday-Friday

9:00 am - 4:00 pm

Washburn ParkAges 12 +

Iroquois RoadOpen Monday-Friday 10:00 am - 12:00 pm

Youth must be 5 years old to attend without an adult.

Park Rules

1. Be Safe2. Be Respectful 3. Be Responsible

Regulations

1. No bikes in the park.

2. Rollerblades and skateboards in designated areas only!

3. Park closes due to severe weather. Please pick your child up if it is thundering or lightning.

Included:*Calendars*

*Permission Slip Forms**Park Registration Form*

*Website Photo Release Form* Like Caledonia Recreation on Facebook for the latest news! -Additional forms available at the park

& www.villageofcaledoniany.org

Park Information

Special Events

Caledonia Recreation offers a number of special events throughout the summer. Check out the events below and mark the dates and times on your calendar!

Scavenger Hunt & Water Balloon Toss ChallengeJuly 1st

10 am & 2 pm at Hamilton Park

*Come join us as we search Hamilton Park for hidden clues. The scavenger hunt takes us all around the park and helps new friends become familiar with the area. Help us search for the hidden treasure chest and possibly collect some sweet rewards! Then beat the heat at 2 pm as we host our park-wide water balloon toss challenge. Prizes awarded!

Relay Race July 2nd

2 pm at Hamilton Park

*Can you hop across the park in a potato sack? Can you balance a giant egg on a huge spoon? Think you’ve got what it takes to be crowned champion of Hamilton Park’s Relay Race? Come test your skills during this epic challenge at Hamilton Park!

Wildlife Educators Coalition July 22nd

10 am at Hamilton Park

*Get ready for some serious excitement as we welcome a NEW event ... the Wildlife Educators Coalition is coming to Hamilton Park! Educational and entertaining, it’s a fun hands-on experience for kids and adults alike. Come on down to see, and touch, some amazing animals that you’ll probably never see again!

Penny Carnival and Community Movie Night ExtravaganzaJuly 31st

Penny Carnival starts at 5:30 PM, Movie starts at 8:30 PM

*Come one, come all to our summer extravaganza! Bring your pennies and be prepared to experience an evening of incredible family fun for just pennies! We’ll end the night munching on popcorn and watching a movie under the stars on our giant, inflatable 21’ movie screen! Don’t miss this fantastic, fun-filled event! See the flyer in this booklet for more information and be on the lookout for additional information coming soon this summer!

Special EventsAgriculture at the ParkAugust 4th

Wiggly Wonders - 10 am at Hamilton Park

We will read the "Diary of a Worm"! We will then explore what worms do for the soil, get hands on with worms, and finish by building our own edible worm haven.

Tye-Dye DayAugust 7th

9:30 am at Hamilton Park

*Bring your white t-shirt down to Hamilton Park for Tye-Dye Day! Pick your colors and your design...before you know it you’ll have a one-of-a-kind shirt!

Agriculture at the ParkAugust 11th

Grass Heads - 10 am at Hamilton Park

Learn about plants! We will explore what plants need to grow with this great hands oncraft! Students will each get to make a head and give it personality.

Hamilton’s Got TalentAugust 13th

2 pm at Hamilton Park

*Can you sing? Can you dance? Do you have a special talent? Bring your talent to Hamilton Park for Hamilton’s Got Talent! Prizes awarded!

Arts and Crafts CompetitionEvery Friday 9:30 am at Hamilton Park

*Do you enjoy arts and crafts? What about arts and crafts competitions for prizes?! Come join us this summer to create: Splatter Art, Bracelets, Color-Me-Bears, and Design-a-Mask for prizes! Not to mention, we provide free craft activities for kids Monday through Friday, 9:30 am - 12:00 pm! Some of this year’s favorites include: Magic Butterflies, Sand Art Monsters, Velvet Art Posters, and Color-Me-Crowns.Come get creative at Hamilton Park!

Special EventsFree LunchEvery Tuesday12 pm at Hamilton Park

*Did someone say free lunch?! Charity Bible Church in Caledonia is sponsoring free pizza for lunch every Tuesday, while the Knights of Columbus in Caledonia will provide the drinks. Come down to Hamilton Park every Tuesday at noon to receive your free, delicious slice!

Free Popcorn FridayEvery Friday1 pm at Hamilton Park

*What’s better than fresh, hot popcorn on a Friday afternoon? FREE fresh, hot popcorn on a Friday afternoon! Come on down to Hamilton Park and receive your delicious summer snack!

Lego LeagueEvery Tuesday and Thursday10 am - 12 pm at Washburn Park

*Love legos? Want to build your own creations? Want to be a part of making an extravagant lego creation for the Penny Carnival? We supply the legos, you supply the ideas. Come join us at Washburn Park every Tuesday and Thursday and let loose with legos! Recreation Staff will walk participants to and from Washburn Park.

Counselors Vs. Kids GameEvery Friday2 pm at Hamilton Park

*After you’ve had your fill of free popcorn, join us at Hamilton Park to take on your favorite counselors in a Counselors Vs. Kids Game! Do you have what it takes to beat the counselors?!

Save the Date

Friday, July 31st

Washburn ParkPenny Carnival: 5:30 - 8:30 pmMovie Night: 8:30 - 10:00 pm

Penny Carnival & Movie Night

*Come one, come all to Caledonia Recreation’s summer extravaganza!

*Penny Games & Prizes *Air Brush Tattoos *Live Band

*Photo Booth *Mr. Scribbles *Sno-Cones - 1 Free per child

*Inflatable Obstacle Course *Face Painting *Cotton Candy - 1 Free per child

*Bounce Houses *Bungee Run *1 Free Hot Dog Meal per child

*Sand Art Crafts *Dunk Tank *Fried Dough & Waffles

*Design-Your-Own T-Shirts *Petting Zoo *Ms. B-haven Alpacas

*Balloon Animals *Chicken BBQ *Movie selected by Rec kids!

*Special thanks to Cal-Mum Elementary PTO and Lions Club for their generous support!

2015

Field TripsCaledonia Recreation offers a variety of exciting field trips throughout the summer!

LibraryEvery Tuesday, 2 pm - 3 pmCost: Free

*Park staff will walk children up to Caledonia Library every Tuesday. Youth will be able to participate in the summer reading program, check-out books, and explore various library resources.

Horizon Fun FXJuly 8th, 9:15 am - 1:45 pmCost: $18 per child

*Roller Skating, Jungle Gyms, Laser Tag, Cliff Jump, and King of the Hill...Horizon Fun FX has it all! Not to mention 20 tokens for extreme arcade games are included! Save your spot for this fabulous field trip!

Swimming at LeRoy RecreationJuly 9th, July 15th, July 30th; 12:30 pm - 3:30 pm at LeRoy RecreationCost: $5 per child per swimming trip

*Children are provided the wonderful opportunity to swim at LeRoy Recreation’s pool. The pool is staffed at all times with lifeguards. Changing rooms, as well as lockers (with no locks) are available. Beat the heat and have a splashin‘ good time!

MinnehansJuly 16th, 9:30 am - 2:30 pmCost: $15 per child*Want to play some mini-golf? Maybe hit some balls in the batting cages? Race in go-karts? Or play some awesome arcade games? Then Minnehans is the place for you! Join Caledonia Recreation on one of our all-time favorite field trips!

Wheeled RodeoJuly 21st, 10:00 am at Washburn ParkCost: Free*Park staff will walk children up to Washburn Park for the Wheeled Rodeo. Each participant will receive a helmet inspection, wheel inspection, and will then be able to participate in the wheeled rodeo course!

Field TripsField trips fill up fast! Please ensure children sign up for the trips they want to go on in advance!

Kickball Tournament: Cal-Mum Recreation Vs. LeRoy RecreationJuly 22nd, 12:30 pm - 4:30 pm at LeRoy Recreation

*Sport your maroon and white, as Caledonia Recreation takes on LeRoy Recreation in a kickball tournament. Not a kickball fan? No worries, there will be swimming, an inflatable obstacle course, 4-way bungee bounce, human hamster roll, zipline, and a dual lane water slide! You can’t miss this spectacular experience! Turn in your permission slip early!

Red Wings GameJuly 23rd, 9:30 am - 3:30 pmCost: $7 per child; optional boxed lunch - additional $3/child

*Come out and support the Rochester Red Wings as they take on Lehigh Valley! Caledonia Recreation will join many other recreation programs at the Rochester Red Wing’s Camp Day, which includes multiple vendors giving away cool kid-friendly souvenirs. Bring your glove too...you never know when you might catch a fly ball!

Sky ZoneJuly 29th, 11:45 am - 3:45 pmCost: $20 per child

*Sky Zone is the World’s First Indoor Trampoline Park! Join us as we jump on a seemingly endless sea of trampolines, all connected to form one massive trampoline surface. Price includes two hours of jumping and socks. Come bounce around with us as we experience this awesome trip!

Darien LakeAugust 5th, 9:30 am - 4:30 pmCost: $20 per child

*Back by popular demand ... DARIEN LAKE! Price includes admission to both the amusement park and water park. Locker rental is $7, with a $5 deposit.

Roseland Water ParkAugust 12th, 9:45 am - 4:30 pmCost: $20 per child

*Cool off at Roseland Water Park! Whether you’re splashing around in the wave pool or sliding down one of the massive water slides you’re bound to have a tremendous time! You can bring snacks and lunch into the park or purchase food at the park.

Creative Classes at the Park This summer Caledonia Recreation has partnered with SPLAT, the Village Florist, and the Woolery to provide our youth with multiple opportunities to create unique, one of a kind projects! Spots are first

come, first serve. Seats are reserved when permission slip & payment have been received. Please ensure children sign up for the classes they wish to take in advance, so we have enough materials for everyone.

SPLAT at the Park *FlowerpotsMonday, July 13th, 10:00 am - 12:00 pm; Cost: $12- Paint and decorate your own flowerpot. Then plant your new flower and learn about taking care of plants!  

*Colorful CanvasMonday, July 27th, 10:00 am - 12:00 pm; Cost: $10- Use acrylic paints and tape on a canvas for a very cool, one of a kind, creation!

 *Pins, Trading Cards, & Mystery CraftsMonday, August 3rd, 10:00 am - 12:00 pm; Cost: $8- Create your own pins, artist trading cards (ATCs) and do a surprise craft.

 *Animal AdventureMonday, August 10th, 10:00 am - 12:00 pm; Cost: $8- All the crafts are about animals!

Village Florist at the Park *Wreath MakingTuesday, July 14th, 1:00 pm - 2:00 pm; Cost: $12-Come get crafty with the Village Florist and make an awesome clothes pin wreath!

*Pine Cone FlowersTuesday, July 28th, 1:00 pm - 2:00 pm; Cost: $5-Oh look at all of those beautiful flowers! But wait, what do you mean they are actually pine cones?! Come create these lovely pinecones, pretending to be flowers, with us!

The Woolery at the Park *Kids Knitting Every Monday, starting July 13th, 12:00 pm - 1:00 pm; Ages: 8+; Cost: $12 for 5 sessions-Learn the basics of knitting! Already a knitter? Brush up on your skills or learn a new technique. Projects will be on display on Fiber Friday at the Fair, August 20th. *Plastic CanvasEvery Monday, starting July 13th, 1:00 pm - 3:00 pm; Ages: ALL; Cost: FREE-Learn basic sewing skills and make a bookmark or coaster. Projects will be on display at the Penny Carnival, July 31st.

Community Events

Raider Volleyball Camp: Grades 9-12 August 3rd - August 6th

6:00 pm - 9:00 pm at Caledonia-Mumford School

* Welcome to our 8th annual Cal-Mum Volleyball Camp. The camp features Coach Bethany Schlegel from FLCC, Coach Jen Salmon from SUNY Geneseo and Coach Kelly Greapentrog from St. John Fisher. The camp is open to interested girls who will be entering grade 9-12 in the upcoming fall season. Seniors from 2014 are also eligible to attend. We will have 3 courts available and will limit the number of players to 50 girls.

Raider Volleyball Camp: Grades 6-8 August 10th - August 12th

6:00 pm - 8:30 pm at Caledonia-Mumford School

* Welcome to our 8th annual modified volleyball camp. The camp is run by Cal-Mum Coaches, Dave Tytler, Amy Harmon, and Rick Grattan. There will also be guest appearances by other coaches throughout the 3 nights. The camp is open to interested girls who will be entering grades 6-8 in the upcoming school year. We will have 3 courts available and will limit the number of players to 40 girls.

-More information on Volleyball camps available at http://www.calmumvolleyball.com

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Important Notes:

*All staff attend the Minnehans, Horizon Fun FX, Sky Zone, and Roseland Water Park field trips.

On these days, the Recreation Program at both parks is closed as all staff will be supervising children on the field trip.

*SPLAT at the Park - Please pay per session. Checks made payable to “SPLAT” or exact cash accepted.

*Woolery at the Park - Please pay per session. Checks made payable to “The Woolery” or exact cash accepted.

*Village Florist at the Park - Please pay per session. Checks made payable to “The Village Florist”or exact cash accepted.

Caledonia R

ecreation-August 2015

Field Trip Date Cost Departure Return Age ✓

Library Tuesdays Free 2:00 pm 3:00 pm All

Lego League -Washburn

Tuesday/Thursday Free 10:00 am 12:00 pm All

Horizon Fun FX July 8 $18 9:15 am 1:45 pm 1st Gr. & up

Swimming July 9 $5 12:30 pm 3:30 pm 3rd Gr.& up

Swimming July 15 $5 12:30 pm 3:30 pm 3rd Gr.& up

Minnehans July 16 $15 9:30 am 2:30 pm 1st Gr. & up

Wheeled Rodeo* July 21 Free 10:00 am 11:00 am All

Kickball Tourney* July 22 Free 12:30 pm 4:30 pm 3rd Gr.& up

Red Wings July 23 No lunch $7Lunch $10

9:30 am 3:30 pm 3rd Gr.& up

Sky Zone* July 29 $20 11:45 am 3:45 pm 4th Gr.& up

Swimming July 30 $5 12:30 pm 3:30 pm 3rd Gr.& up

Darien Lake August 5 $20 9:30 am 4:30 pm 5th Gr. & up

Roseland August 12 $20 9:45 am 4:30 pm 4th Gr.& up

Total Amount Due: __________Total Amount Due: __________Total Amount Due: __________Total Amount Due: __________Total Amount Due: __________Total Amount Due: __________Total Amount Due: __________

Conditions: All trips are weather permitting and designed for the age specified. All children that ride the bus to the field trip will also ride the bus home. Any younger children need parent/guardian (not older child) and own transportation. Parent/Guardian will pay the full cost of the group ticket price. Children must be registered at Park in order to attend field trips. First come, first served.There are no refunds.

____________________________________________, has my permission to go with the Caledonia Recreation to the above checked field trips. I realize that with this permission, in case of accident or injury, I will not hold the Village of Caledonia, the Recreation Commission, the Recreation Director, or the Recreation Staff responsible.

Signature of Parent/Guardian ___________________________________________________

Person to contact in case of emergency ____________________________________________

Emergency # _______________________________________________

Field Trips Permission Slip 1) Check the last box if you want your child to attend that field trip. 2) Please return this permission slip to Recreation Staff with the necessary funds.- Park Registration Form (last page) must be completed for child to attend trips. - Additional copies of this form can be found at Hamilton Park or at www.villageofcaledoniany.org

Due to Bus Regulations, we can only accommodate 47 children per bus. Seats are only saved if money is returned with the permission slip for each checked trip.

*Wheeled Rodeo, Sky Zone, and the Kickball Tourney each require an extra permission waiver--located in back.

Trip/Activity Date Cost Start End Age ✓

The Woolery -Kids Knitting

July 13 July 20July 27August 3 August 10

$12 for all 5 sessions 12:00 pm 1:00 pm 8+

The Woolery -Plastic Canvas

July 13 July 20July 27August 3 August 10

FREE 1:00 pm 3:00 pm All

SPLAT - Flowerpots July 13 $12 10:00 am 12:00 pm All

SPLAT - Colorful Canvas July 27 $10 10:00 am 12:00 pm All

SPLAT -Mystery Crafts August 3 $8 10:00 am 12:00 pm All

SPLAT - Animal Adventure August 10 $8 10:00 am 12:00 pm All

Village Florist -Wreath Making July 14 $12 1:00 pm 2:00 pm All

Village Florist -Pine Cone Flowers July 28 $5 1:00 pm 2:00 pm All

Total Amount Due: __________Total Amount Due: __________Total Amount Due: __________Total Amount Due: __________Total Amount Due: __________Total Amount Due: __________Total Amount Due: __________Conditions: All trips are weather permitting and designed for the age specified. All children that ride the bus to the field trip will also ride the bus home. Any younger children need parent/guardian (not older child) and own transportation. Parent/Guardian will pay the full cost of the group ticket price. Children must be registered at Park in order to attend field trips. First come, first served.There are no refunds.

____________________________________________, has my permission to go with the Caledonia Recreation to the above checked field trips and/or special events. I realize that with this permission, in case of accident or injury, I will not hold the Village of Caledonia, the Recreation Commission, the Recreation Director, or the Recreation Staff responsible.

Signature of Parent/Guardian ___________________________________________________

Person to contact in case of emergency ____________________________________________

Emergency # _______________________________________________

The Woolery- SPLAT- Village FloristPermission Slip

*These activities must be paid for separately--exact cash or checks accepted.*Woolery at the Park - Please make checks payable to “The Woolery“*SPLAT at the Park - Please make checks payable to “SPLAT”*Village Florist at the Park - Please make checks payable to “Village Florist”

Sky Zone Permission Waiver Participant Agreement, Release and Assumption of Risk (The Agreement) – Sky Zone Rochester lete electronically at www.skyzonesports.com Must be completed for participants under the age of 18 (Print up to three names/birthdates below of children of the SAME parent or legal guardian): Participant 1: Print First Name Print Last Name Birthdate

Participant 2: Print First Name Print Last Name Birthdate

Participant 3: Print First Name Print Last Name Birthdate

Participant 4: Print First Name Print Last Name Birthdate

In consideration for gaining access to 155 Bellwood Drive Greece, NY 14606, (the “Location”) and engaging the services of Rochester Fun and Fitness, LLC, or any other location within the state of New York, d/b/a Sky Zone Indoor Trampoline Park, RPSZ Construction, LLC, Sky Zone Franchise Group, LLC, Sky Zone, LLC, their agents, owners, officers, directors, representatives, assigns, affiliates, volunteers, participants, employees, insurers, and all other persons or entities acting in any capacity on their behalf, (herein after collectively referred to as “SZITP” ), I on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representatives, estate, and insurers, agree as follows: (Initial Here) I acknowledge and understand that my participation in SZITP trampoline games or activities entails known and reasonably foreseeable risks, which are inherent in the nature of the recreational activity and could result in physical or emotional injury including, but not limited to broken bones, sprained or torn ligaments, paralysis, death, or other bodily injury or property damage to myself my child(ren), or to third parties. I am aware and understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. I expressly agree and promise to accept and assume all of the risks existing in this activity. My and/or my child(ren)’s participation in this activity is purely voluntary and I elect to participate, or allow my children to participate, in spite of the risks. If I and/or my child(ren) are injured, I acknowledge that I or my child(ren) may require medical assistance, which I acknowledge will be at my own expense or the expense of my personal insurer(s). I hereby represent and affirm that I have adequate and appropriate insurance to provide coverage for such medical expense. I UNDERSTAND AND AGREE THAT SZITP WILL NOT PAY FOR ANY COST OR EXPENSES INCURRED BY ME IF I AND/OR MY CHILD ARE INJURED UNLESS SUCH INJURY WAS CAUSED BY GREATER THAN ORDINARY NEGLIGENCE OF SZITP. In consideration of SZITP allowing my participation in trampoline games or activities, I for myself and on behalf of my child(ren) and/or legal ward, heirs, administrators, personal representatives, or assigns, do hereby voluntarily agree to hold harmless, release and discharge SZITP of and from all claims, demands, causes of action, and legal liability, whether the same be known or unknown, anticipated or unanticipated, due to SZITP’s ordinary negligence. I, for myself and on behalf of my child(ren) and/or legal ward, heirs, administrators, personal representatives, or any assigns, further voluntarily agree that, except in the event of SZITP’s gross negligence and willful and wanton misconduct, I shall not bring any claims, demands, legal actions and causes of action, against SZITP for any economic and non-economic losses due to bodily injury, death, property damage sustained by me and/or my minor child(ren) that are in any way associated with SZITP trampoline games or activities. Should SZITP or anyone acting on their behalf be required to incur attorney’s fees and costs to enforce this Agreement, I for myself and on behalf of my child(ren), and/or legal ward, heirs, administrators, personal representatives or assigns, agree to indemnify and hold them harmless for all such fees and costs. (Initial Here) . I certify that I and/or my child(ren) are physically able to participate in all activities at the Location without aid or assistance. I further certify that I am willing to assume the risk of any medical or physical condition that I and/or my child(ren) may have. I acknowledge that I have read the rules, (the “SZITP Rules”) governing my and/or my child(ren)’s participation in any activities at the Location. I certify that I have explained the SZITP Rules to the child(ren) listed in this waiver. I understand that the SZITP Rules have been implemented for the safety of all guests at the Location, including myself and/or my child(ren). I acknowledge that failure to follow the rules could result in the expulsion of myself and/or my child(ren) from the Location. I agree that if any portion of this Agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect. If there are any disputes regarding this agreement, I on behalf of myself and/or my child(ren) hereby waive any right I and/or my child(ren) may have to a trial and agree that such dispute shall be brought within one year of the date of this Agreement and will be determined by binding arbitration before one arbitrator to be administered by JAMS pursuant to its Comprehensive Arbitration Rules and Procedures. I further agree that the arbitration will take place solely in the state of New York and that the substantive law of New York shall apply. If, despite the representations made in this agreement, I or anyone on behalf of myself and/or my child(ren) file or otherwise initiate a lawsuit against SZITP, in addition to my agreement to defend and indemnify SZITP, I agree to pay within 60 days liquidated damages in the amount of $5,000 to SZITP. Should I fail to pay this liquidated damages amount within the 60 day time period provided by this Agreement, I further agree to pay interest on the $5,000 amount calculated at 12% per annum. I further grant SZITP the right, without reservation or limitation, to videotape, and/or record me and/or my child(ren) on closed circuit television. I further grant SZITP the right, without reservation or limitation, to photograph, videotape, and/or record me and/or my child(ren) and to use my or my child(ren)’s name, face, likeness, voice and appearance in connection with exhibitions, publicity, advertising and promotional materials. I would like to receive free email promotions and discounts to the email address provided below. I may unsubscribe from emails from Sky Zone at any time. By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against SZITP on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I understand this Agreement and I voluntarily agree to be bound by its terms. I further certify that I am the parent or legal guardian of the child(ren) listed above on this Agreement or that I have been granted power of attorney to sign this Agreement on behalf of the parent or legal guardian of the child(ren) listed above.

Parent/Legal Guardian/Participant’ Signature (if 18 or older) Date: Parent/Guardian/Participant (if over 18): Print First Name

Print Last Name Birth date

Print Street Address

Apt. # Print City Print State ZIP

Cell Phone

Emergency Contact Number Email

Check box if you would not like to receive free email promotions and discounts to the email address provided above, I may unsubscribe from emails at any time.

Waiver accepted by_________________________ (SZITP Employee)

Please print and fill out highlighted areas completely or complete electronically at www.skyzone.com/rochester

Cal-Mum Vs. LeRoy Kickball Tourney WaiverPARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK

4-Way Euro Bungee

In consideration of the Services of Endeavor Entertainment Inc., their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in their capacity on their behalf (hereinafter collectively referred to as Endeavor Entertainment). I hereby agree to release, indemnify, and discharge Endeavor Entertainment on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representatives and estate as follows:

1. I acknowledge that participating on the 4-way Euro Bungee entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to me, to property, or to third parties. I understand that such risk simply cannot be eliminated without jeopardizing the essential qualities of the activity.

The risks include, but are not limited to: missing the inflatable trampoline and hitting the ground, hitting the trailer and it’s  components,  being  entangled  in  the  roping  and/or  bungee  cords,  or  being  hit  with  a  broken  bungee  cord, which could result in musculoskeletal injuries including head, neck, back, upper body and lower body injuries. Furthermore, Endeavor Entertainment employees have difficult jobs to perform. They seek safety, but they are not infallible.  They  might  be  unaware  of  a  participant’s  fitness  or  abilities.  They  may  give  incomplete  warnings  or  instructions, and the equipment being used might malfunction.

2. I expressly agree and promise to accept and assume all of the risk existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.

3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold Endeavor Entertainment harmless from

any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or  my  use  of  Endeavor  Entertainment’s  equipment  or  facilities,  including  any such claims which allege negligent acts or omissions of Endeavor Entertainment.

4. Should  Endeavor  Entertainment,  or  anyone  acting  on  their  behalf,  be  required  to  incur  attorney’s  fees  and  costs  to  

enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.

5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the cost of such injury or damage. I further certify that I am willing to assume the risk of any medical or physical condition I may have.

6. All parties hereby irrevocably agree that this AGREEMENT shall be governed by the laws of New York, of the United

States of America, and the venue for any and all legal actions brought under this AGREEMENT shall be the courts of New York.

By signing the following page(s), I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against Endeavor Entertainment on the basis of my claim from which I have released them herein.

Signature of Participant: __________________________________ Print Name: ________________________________________

Address: ____________________________________________________________________________________________________

Phone: _____________________________________________ Date: _____________________________________________

PARENT’S  OR  GUARDIAN’S  ADDITIONAL INDEMNIFICATION (Must be completed for participants under the age of 18)

In consideration of _________________________________  (print  minor’s  name)  (“Minor”)  being  permitted  by  Endeavor  Entertainment to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless Endeavor Entertainment from any and all Claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor.

Parent or Guardian (Signature) _____________________________ Print Name: ________________________________________

Date: _________________________________________________

Wheeled Rodeo Waiver

“2015 Annual Summer Recreation Bike Rodeo” Sponsored by: Cornell Cooperative Extension

Date: July 21, 2015 Time: 10:00 am Place: Washburn Park

Dear Parents,

Compliments of Local Law Enforcement, Livingston County Health Department and the Cornell Cooperative Extension, we able to hold our “Annual Summer Recreation Bike Rodeo”. This year the children are allowed to use any of the following items for the rodeo: bikes, skateboards, scooters, or rollerblades.

• Children are allowed to bring only “1” item (bike, skateboard, scooter, or rollerblades)• Parents please check your child’s equipment the night before the event. We will not be doing any

repairs, if there is a problem with their bike, etc., unfortunately they will not be able to ride.• Children are required to bring and wear a helmet to participate in the rodeo.• Parents- please review the enclosed quick fit check to determine if your child’s helmet is safe.

This year’s rodeo will feature:Helmet Inspection: helmets will be checked for cracks, holes or if it is too big or too small. If the child’s helmet does not pass inspection their helmet will be taken and not returned to them, Cornell will provide them with a new helmet to keep at no charge. There is a limited number of helmets so only children participating in the rodeo will be allowed to obtain a helmet if needed.

Wheel Inspection: the wheels on the item that they are riding will be inspected for safety purposes. We will be teaching the children what they should look for each time they get ready to ride. They will learn how to check their air pressure in the tires, how to check their brakes and they will learn how to check for any loose parts.

Rodeo: Once participants have completed all the inspection stations they will have an opportunity to ride through the rodeos set up by our local police department.

---------------------Permission Slip-----------------Please sign and return----------------------------

I understand and agree that the sole purpose of this program is to help increase the number of children wearing helmets that are the correct size, and are free from cracks/holes; that this inspection is being provided to as a free service to me; that this program cannot fully evaluate the quality, safety, or condition of my helmet or any component of my wheeled device; including the tires and the brakes, and that this program cannot guarantee my child’s safety in a wheeled collision. However, I understand that a properly fitted helmet can prevent or reduce fatal injury. For these reasons, I hereby release Cornell Cooperative Extension of Livingston County and any program participants, from any present or future liability for any injuries or damages that may result from a wheeled sports injury or otherwise. I hereby give my permission for my child to participate in the wheeled rodeo at the above location and I understand that if my child’s helmet is found to be unsafe, it will be replaced.

Participant’s Signature: _________________ Date: ______

Child’s Name: ________ Age: __ Child’s Name: ________ Age: __Child’s Name: ________ Age: __

Registration Form

Name: ________________________________Grade: _______________ DOB: ____________Address: _______________________________Home Phone: ____________________________Emergency Contact: _______________________Emergency Phone: ________________________Parents’ Names: _________________________Doctor’s Name: __________________________Doctor’s Phone: __________________________Additional Medical Info. you think Park Staff should know: ______________________

________________________________________________________________

EMERGENCY RELEASEI GIVE APPROVAL TO HAVE MY SON/DAUGHTER TREATED IN AN EMERGENCY ROOM OF ANY HOSPITAL FOR ANY INJURY SUSTAINED WHILE PARTICIPATING IN ACTIVITY. PLEASE TRY TO CONTACT ME FIRST. SHOULD THE HOSPITAL BE UNABLE TO REACH ME, I DO GRANT PERMISSION FOR THE HOSPITAL TO TREAT MY CHILD. I realize that in case of accident or injury, I will not hold the Village of Caledonia, the Recreation Commission, the Recreation Director, or the Recreation Staff responsible.

__________________________________________________________SIGNATURE

__________________________________DATE

Check here if you give your child (11 years and younger) permission to walk to and attend Washburn Park with Staff.

Caledonia Recreation WEBSITE PHOTO RELEASE FORM

Dear Parent/Guardian:

Caledonia Recreation may, from time to time, publish information celebrating our program and the children participating in it. Your child's full name, photograph, and original art work may appear on our website with your written permission.

Please check your preference in each category:

Photograph (check one)

[ ] !I give permission for my child's full name and photograph to be used on the Caledonia Recreation Web Page.

[ ] !I do not give permission for my child's full name and photograph to be used on the Caledonia Recreation Web Page.

Original Art Work (check one) [ ] !I give permission for my child's full name and original art work to be

published on the Caledonia Recreation Web Page.

[ ] !I do not give permission for my child's full name and original art work to be published on the Caledonia Recreation Web Page. !

Child’s Name: _____________________________________________

Parent/Guardian Name: ____________________________________

Parent/Guardian Signature: __________________________________

Date: __________________