NSSRA 2022 Winter Program Guide | Page 57

Registration Form ( Page 2 )

Registration Form ( Page 2 )

Please Print Participant ’ s Name : ________________________________________________
REGISTRATION INFORMATION CONTINUED Program Information
Transportation Information
Program Code Fee Code Fee Pick Up Site Drop Off Site
SUBTOTAL
SUBTOTAL : Please carry this subtotal over to front of form .
COMMENTS : We Welcome Your Input
You or your child is participating in programs through NSSRA and / or your local park district or recreation department . NSSRA services include providing year-round recreation programs for the residents of its thirteen partner communities , Inclusion support , sign language interpreters , behavior management support and training , disability awareness training and any other services necessary to involve you and your child in community recreational activities .
We encourage you to share with us your thoughts and ideas about our current services or other services which you would like to see us offer . We use your comments to develop new programs , train support staff and companions , and improve the quality of NSSRA and park district or recreation department programs .
We value your feedback !
_______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________