Software Sign-Up
Please complete this form to confirm you would like to be added to the NEW software system for Burlington Parks and Recreation Department's Therapeutic Recreation Division.
Name (of person completing this form)
*
First Name
Last Name
What is your relationship to Burlington Parks & Recreation Department?
*
Participant
Parent/Guardian of a Participant
Service Provider
Other
Email
*
Use the email you want to receive the intake forms to
Name of Participant
*
First Name
Last Name
What happens next?
In the coming weeks an email will be sent to the email address you included on this form. This email will prompt you to complete the intake forms for the new software system.
Have questions?
Contact Therapeutic Recreation Specialist, Emma Andrus, at eandrus@burlington.org or 781-270-1937.
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