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
Special Events
Blades of Steel |
237001-61 |
$ 90 |
Play and Spin |
237002-61 |
$ 79 |
Museum of Science & Industry |
237004-61 |
$ 82 |
Grease the Musical |
237005-61 |
$ 128 |
NSSRA Spring Formal |
237006-61 |
$ 45 |
Cinco de Mayo Fiesta |
237007-61 |
$ 51 |
Abracadabra |
237009-61 |
$ 51 |
Cardio Drumming |
237010-61 |
$ 65 |
Zoo Much Fun |
237011-61 |
$ 77 |
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 !
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66 Registration Form | nssra . org