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ARDActivityGuide- Summer2017 FINAL

INFORMATION THE AUBURN

INFORMATION THE AUBURN AREA RECREATION & PARK DISTRICT FACILITIES/CUSTOMER SERVICE ARD has a variety of facilities available to rent by the public. There are various sized rooms for businesses, classes, staff retreats, meetings, and parties. Group picnic areas and the pools can be reserved for family reunions, company picnics, birthdays, and youth groups. Gyms and athletic fields can be reserved for use by your group. For more information visit our website, www.auburnrec.com; for availability call our Customer Service office 530.885.8461, option 6. ARD REFUND POLICY Full refunds will be issued only if ARD cancels a class or activity. Full credit on account (good towards another ARD class, program or activity), will be given on customer cancellations received 72 hours prior to the first class. Failure to attend a class or “no shows” will not be granted a credit. If you are not satisfied with any of our programs, please contact the program supervisor. All refunds will come in the form of a check. Please allow 3 – 4 weeks processing time. AMERICANS WITH DISABILITIES ACT Auburn Recreation District encourages those with disabilities to participate in our programs. ARD will make all reasonable efforts to provide accommodations in programs, facilities and services. Staff is available to meet with anyone having special needs or concerns regarding accessibility. Call 530.863.4615. ARD MISSION STATEMENT The mission of the Auburn Area Recreation and Park District is to provide an excellent system of parks, recreation facilities, programs and services that enrich the lives, health and happiness of our citizens. DISCLAIMER The opinions and views of ARD instructors and coaches do not necessarily reflect those of the Auburn Recreation District, its board, management or staff. The Auburn Recreation District reserves the right to cancel or combine programs at any time. The Auburn Area Recreation and Park District reserves the right to photograph facilities, activities and program participants for potential future use. All photos remain property of the Auburn Area Recreation and Park District and may be used for publicity and promotional purposes. YOUTH ASSISTANCE FUND In an effort to see every child in our district participate in our recreational programs, ARD has established the Youth Assistance Fund. The Youth Assistance Fund provides program scholarships to assist lower income individuals and families. Applications for the Youth Assistance Fund, including income eligibility guidelines, can be obtained from our Customer Service Office or the forms section on our website. The Youth Assistance Fund is for individuals living in and out of the district boundaries, as funding is available. Individuals or organizations interested in donating to our Youth Assistance Fund through Friends of The Auburn Area Recreation and Parks, Inc. (501 C3) should contact the Recreation Services Manager at 530.863.4615. READY TO REGISTER? Registration forms available from our website or office. You can also register online at www.auburnrec.com. ARD ACTIVITY GUIDE — SUMMER 2017 Class registration forms available at www.auburnrec.com | Page 42

Auburn Recreation District REGISTRATION FORM 123 Recreation Dr. Auburn, CA 95603 How did you hear about ARD? Activity Guide Local Media Website Friend or Relative Other (please explain) Participant’s Name (if under 18, parent or guardian): Address: City: Zip: Phone (Home): (Work): Email Address: Emergency Contact: Name Phone Yes, opt-in for free A R D E-Newsletters. We will never spam, trade, sell or rent your information. REGISTRATION Participant First and Last Name DOB M/F Program Name Activity # Date Fee *Class confirmation notices will NOT BE SENT. Consider yourself registered unless otherwise notified. Refund Policy Full refunds will be issued only if ARD cancels a class or activity. Full credit on account (good towards another ARD class, program or activity for up to a year after issue) will be given on customer cancellations received 72 hours prior to the first class. Failure to attend a class, or “no shows” will not be granted a credit. If you are not satisfied with any of our programs, please contact the program supervisor. All refunds will come in the form of a check. Please allow 3 – 4 weeks processing time. INITIAL Agreement, Waiver & Release In consideration for being permitted by Auburn Area Recreation and Park District (ARD) to participate in the above activity, I hereby waive, release, and discharge any and all claims for damages for personal injury, death, or property damage which may have, or which may hereafter accrue to me as a result of participation in said activity. This release is intended to discharge in advance ARD (its officers, employees, and agents) from any and all liability arising out of or connected in any way with my participation in said activity, though that liability may arise out of negligence or carelessness on the part of the persons or entitles mentioned above. It is understood that this activity involves an element of risk and danger of accidents and knowing those risks I hereby assume those risks. It is further agreed that this waiver, release and assumption of risk is to be binding on my heirs and assigns. I agree to indemnify and to hold the above persons or entities free and harmless from any loss, liability, damage, cost, or expense which they may incur as a result of my death or any injury or property damage that I may sustain while participating in said activity. PARENTAL CONSENT: (To be completed and signed by parent/guardian if applicant is under 18 years of age.) I hereby consent that my son/daughter, , participate in the above activity, and I hereby execute the above Agreement, Waiver and Release on his/her behalf. I state that said minor is physically able to participate in said activity. I hereby agree to indemnify and hold the persons and entities mentioned above free and harmless from any loss, liability, damage, cost, or expense which they may incur as a result of the death or any injury or property damage that said minor may sustain while participating in said activity. I HAVE CAREFULLY READ THIS AGREEMENT, WAIVER & RELEASE AND FULLY UNDERSTAND ITS CON- TENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND THE AUBURN AREA PARK AND RECREATION DISTRICT, AND I SIGN IT OF MY OWN FREE WILL. Signature of participant (if under 18, parent or guardian) Date Name (please print) I agree that in the event that said minor requires medical treatment while under the supervision of ARD’s recreational personnel in connection with described activity, such supervisor may authorize treatment. Signature of participant (if under 18, parent or guardian) Date Name (please print) Date: Receipt#: By: Cash/Credit/CC/Check #: