Hadley P&R Parent's Night Out
2nd Thursday each month 7/14-12/8. $15 per participant. Ages 3-12. (Must be potty-trained)
Participant Name
*
First Name
Last Name
Participant Age
*
Please Select
3-4
5-10
11-12
Days Attending
*
Please Select
7/14
8/11
9/8
10/13
11/10
12/8
Parent/Guardian Name
*
First Name
Last Name
Emergency Contact
*
First Name
Last Name
Email
*
example@example.com
Secondary Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Emergency Contact Phone Number
*
Please enter a valid phone number.
Allergies or medical concerns (optional)
Do you give Hadley Park and Rec permission to publish pictures of your participant on our web site and/or social media?
*
Please Select
YES
NO
Click on the three dots at the top right to print out the waiver. Hand the waiver in at drop-off.
Submit and pay
Should be Empty: