2022 Winter Arts & Crafts

Open Enrollment! Sign Up Anytime!

Once you begin the registration process, you must complete it entirely.
Data typed into this form will not be saved.

This initial registration form will include options for the first month's payment. After the first month, you can either pay online or at the CFC.

*If payments are not received by the 15th of each month, a $30 late fee will be added.

Today's Date

Mother / Guardian:

First NameLast Name

Mother's Phone:

Father / Guardian:

First NameLast Name

Father's Phone:

Primary Phone:*

( ? Number we call first ? )

Primary E-mail:*

Confirmation Email

DO NOT DUPLICATE PRIMARY E-MAIL
Only fill in Secondary e-mail if you want
information sent to another e-mail account.

Secondary E-mail:

Confirmation Email( Do not duplicate Primary E-mail )

Address:

Street

Street Line 2

CityState

Zip

Please list other persons to be called for emergencies if above are unavailable:

Please list each child's medical allergies, chronic illness or other medical conditions the staff should know.

0/50

Family Doctor/Medical Clinic Name:

Phone Number

Start Of Year Date

Date

End of Year Date

Date

Participant Information

Fitness Center Member?*

Child A:*

First NameLast Name

Grade (2022-23) (A) If your child is in Kindergarten or younger, mark 0. *

Age:*

ARE YOU SURE YOU PICKED THE GRADE YOUR CHILD IS IN CURRENTLY?*

Gender (A):*

Activities:

(A) Youth Cheer (Member) - First Month Payment

$25

(A) Youth Cheer (Non-Member) - First Month Payment

$40

Total (A)*

Child B:

First NameLast Name

Grade (2022-23) (B) If your child is in Kindergarten or younger, mark 0.*

Age:*

Gender (B):*

(B) Youth Cheer (Member) - First Month Payment

$25

(B) Youth Cheer (Non-Member) - First Month Payment

$40

Total (B)*

Child C:

First NameLast Name

Grade (2022-23) (C) If your child is in Kindergarten or younger, mark 0.*

Gender (C):*

Age:*

(C) Youth Cheer (Member) - First Month Payment

$25

(C) Youth Cheer (Non-Member) - First Month Payment

$40

Total (C)*

Child D:

First NameLast Name

Grade (2022-23) (D) If your child is in Kindergarten or younger, mark 0.*

Age:*

Gender (D):*

(D) Youth Cheer (Member) - First Month Payment

$25

(D) Youth Cheer (Non-Member) - First Month Payment

$40

Total (D)*

Total*

Interested in Volunteering?

Name:

First & Last

Sport:

Comments (ie: List students that need to be on the same team / daycare)

0/50

Permission, Release & Emergency Treatment Form

As a parent and/or guardian of the minor child(ren) listed below, I herby grant permission for my child to participate in any activity sponsored by the Cresco Fitness Center or the Cresco Park & Recreation.

By granting, permission, I hereby acknowledge that the risk of injury, which could lead to permanent disability, or even death, is inherent in any athletic activity. Furthermore, I understand that the possibility of catastrophic injury does exist even though proper rules and techniques of any athletic activity are followed to the fullest.

I hereby assume such risks of injury on behalf of my child(ren) and myself and will not hold the Cresco Fitness Center, Cresco Park & Recreation, its coaches, employees, or volunteers responsible for accidents taking place during practice, games, or activities sponsored by the Cresco Fitness Center or the Cresco Park & Recreation.

I hereby authorize treatment by a qualified and licensed medical doctor in the event of a medical emergency which, in the opinion of the attending physician, may endanger his/her life, cause disfigurement, physical impairment, or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to reach me. Furthermore, I accept all financial responsibilities for necessary treatment and services.

By enrolling/registering my child in a Cresco Fitness Center or Cresco Park & Recreation program, I am consenting to the use or reproduction of my child's likeness, name, artwork, design or creation on any promotional materials, schedules, rosters or other printed or electronic media, including dissemination by electronic means.

*

I have read, understood, and accepted the Permission, Release & Emergency Treatment Form.

*

By typing your name below, you specifically agree that any signature that you provide through this online process are valid and enforceable as your legal signature. You acknowledge that these electronic signatures will legally bind you to the terms and conditions contained in the related documents just as if you had physically signed the same documents with a pen.

Signature:

*

First NameLast Name

REFUND POLICY: No refunds unless authorized by the Park & Recreation Dept. To cancel an activity you must inform us of the reason in writing and a check will be issued from the City of Cresco.

Privacy Policy

ONLINE PRIVACY POLICY AGREEMENT

City of Cresco Park & Recreation, is committed to keeping any and all personal information collected of those individuals that visit our website and make use of our online services accurate, confidential, secure and private. Our privacy policy has been designed and created to ensure those affiliated with City of Cresco Park & Recreation of our commitment and realization of our obligation not only to meet but to exceed most existing privacy standards.
THEREFORE, this Privacy Policy Agreement shall apply to City of Cresco Park & Recreation, and thus it shall govern any and all data collection and usage thereof. Through the use of CRESCO RECREATION REGISTRATION FORM you are herein consenting to the following data procedures expressed within this agreement.

Collection of Information - This website collects various types of information, such as:
Applicant provided information which may include your names, address, email address, age, gender, billing and/or credit card information etc., which may be used when you sign up for activities, purchase products and/or services and to deliver the services you have requested.
Please rest assured that this site shall only collect personal information that you knowingly and willingly provide by way of surveys, completed membership forms, and emails. It is the intent of this site to use personal information only for the purpose for which it was requested and any additional uses specifically provided on this site.
It is highly recommended and suggested that you review the privacy policies and statements of any website you choose to use or frequent as a means to better understand the way in which other websites garner, make use of and share information collected.

Use of Information Collected
City of Cresco Park & Recreation may collect and may make use of personal information to assist in the operation of our website and to ensure delivery of the services you need and request. At times, we may find it necessary to use personally identifiable information as a means to keep you informed of other possible activities, products and/or services that may be available to you from CRESCO RECREATION REGISTRATION FORM. City of Cresco Park & Recreation may also be in contact with you with regards to completing surveys and/or research questionnaires related to your opinion of current or potential future services that may be offered.
City of Cresco Park & Recreation does not now, nor will it in the future, sell, rent or lease any of our customer lists and/or names to any third parties.
City of Cresco Park & Recreation may disclose your personal information, without prior notice to you, only if required to do so in accordance with applicable laws and/or in a good faith belief that such action is deemed necessary or is required in an effort to:
Remain in conformance with any decrees, laws and/or statutes or in an effort to comply with any process which may be served upon City of Cresco Park & Recreation and/or our website;
Maintain, safeguard and/or preserve all the rights and/or property of City of Cresco Park & Recreation; and
Perform under demanding conditions in an effort to safeguard the personal safety of users of CRESCO RECREATION REGISTRATION FORM and/or the general public.

Unsubscribe or Opt-Out
All users and/or visitors to our website have the option to discontinue receiving communication from us and/or reserve the right to discontinue receiving communications by way of email or newsletters. To discontinue or unsubscribe to our website please send an email that you wish to unsubscribe to parks@cityofcresco.com. If you wish to unsubscribe or opt-out from any third party websites, you must go to that specific website to unsubscribe and/or opt-out.

Links to Other Web Sites
Our website does contain links to affiliates and other websites. City of Cresco Park & Recreation does not claim nor accept responsibility for any privacy policies, practices and/or procedures of other such websites. Therefore, we encourage all users and visitors to be aware when they leave our website and to read the privacy statements of each and every website that collects personally identifiable information. The aforementioned Privacy Policy Agreement applies only and solely to the information collected by our website.

Security
City of Cresco Park & Recreation shall endeavor and shall take every precaution to maintain adequate physical, procedural and technical security with respect to our offices and information storage facilities so as to prevent any loss, misuse, unauthorized access, disclosure or modification of the user's personal information under our control.
The company also uses PCI Compliance Manager for authentication and private communications in an effort to build users' trust and confidence in the internet and website use by providing simple and secure access and communication of credit card and personal information.

Changes to Privacy Policy Agreement
City Of Cresco Park & Recreation reserves the right to update and/or change the terms of our privacy policy, and as such we will post those changes to our website homepage at CRESCO RECREATION REGISTRATION FORM, so that our users and/or visitors are always aware of the type of information we collect, how it will be used, and under what circumstances, if any, we may disclose such information. If at any point in time City of Cresco Park & Recreation decides to make use of any personally identifiable information on file, in a manner vastly different from that which was stated when this information was initially collected, the user or users shall be promptly notified by email. Users at that time shall have the option as to whether or not to permit the use of their information in this separate manner.

Acceptance of Terms
Through the use of this website, you are hereby accepting the terms and conditions stipulated within the aforementioned Privacy Policy Agreement. If you are not in agreement with our terms and conditions, then you should refrain from further use of our sites. In addition, your continued use of our website following the posting of any updates or changes to our terms and conditions shall mean that you are in agreement and acceptance of such changes.

How to Contact Us
If you have any questions or concerns regarding the Privacy Policy Agreement related to our website, please feel free to contact us at the following:
Email: parks@cityofcresco.com
Telephone Number: (563) 547-3443
Mailing Address: Park & Recreation 316 3rd Ave E, Cresco, Iowa 52136

Payment Method*

You may pay by check, cash or credit card at the Cresco Fitness Center.
Must be paid before program starts or your child participates.

Mail check payable to: Cresco Fitness Center, 316 3rd Ave E, Cresco, IA 52136.
Cresco Fitness Center does not recommend mailing in cash payments.
Include copy of e-mail confirmation with check.
Must be paid before program starts or your child participates.

After you submit this form, a 'Thank You' page will appear
confirming your submission. On that page you will be directed to
GOVPAY.NET to complete your on-line payment.

Enter 'CHEER' as the description of Recreation.

A processing fee of 2.95% ($1.00 minimum)
will be added to your total.

Total Due

Math Challenge - I am not a ROBOT

When you submit your registration and we receive it, an email confirmation
of your registration will be sent to the email address you provide.

Are you sure all your information is correct?

After you hit the 'Submit' button, to make any changes you
must contact the Park & Recreation office: 563-547-3230.

Thank you.

2023 Cresco Youth Cheer Registration Form