Register by Mail or at the Civic Center, 2000 Alice Lane, Marinette, WI 54143

Self-addressed stamped envelope must be enclosed with mail-in registrations. (to return class confirmation to you.)

Please Print                    City Resident           Non-Resident

Parent/Guardian Name:_________________________________________

Address: ___________________________ Home Phone: _____________

City: _______________  Zip: ___________ Work Phone: _____________

E-Mail Address: _____________________________________________

 

Participant's Name D.O.B. Current Grade Program Name Session Dates Fee
           
           
           
           
           

Total Fee__________
Return registration and payment to: (make checks payable to City of Marinette)

MARINETTE RECREATION DEPARTMENT

1905 Hall Avenue

Marinette, WI 54143
I understand that participating in any Marinette Program involves and element of risk. I agree to assume this risk for myself as an adult, and for any of my minor children. I release the City of Marinette, its employees, agents, and volunteers from any liability for personal injury, death, or property damage or loss suffered by myself or my minor child while participation in any such program.

Signature: ___________________________________________________ Date: ______________________

                          Adult Participant    or        Parent/Legal Guardian