Registration
On-Line Recreation Program Registration!
Visit the city website listed below and click on the online registration button to easily and
conveniently register for our classes, trips and programs. Be sure to enter the corresponding
activity number listed at the end of the program description. The activity number looks like this: #5001.
Since this is a fairly new devised program, which is a 2-step process, bear with us as we work out unknown
kinks in the new system that may occur. Register online at www.staunton.va.us/recreation
*FREE CLASSES:
Complete the online registration directions above, ONLY through STEP 1. Once you hit submit after STEP 1, you are registered.
NAME ________________________________________________________Year You Were Born_________________________
ADDRESS_________________________________________________________________________________________________
CITY__________________________________STATE__________________ZIP__________________________________________
PHONE AM/PM____________________________________________EMAIL___________________________________________
EMERGENCY CONTACT_____________________________________________________________________________________
Program/Class/Trip_____________________________________________________Date/Time____________________________
$ Price________________
Program/Class/Trip Total (Do not include materials fee) ________________
Adults (Over 55) 10% Discount (excludes trip & special event prices) ________________
Non-City of Staunton Registration Fee add $2.00 per program/class/trip per person________________
Total sent: ________________
The following hold harmless agreement must be signed by all participants or in the
case of a minor, his or her guardian.
WITNESSETH: WHEREAS, the undersigned in consideration of the permission
granted to it by the City of Staunton to hold harmless the City of Staunton against and
and all liability, loss, damages, cost or expense which it may incur because of such
action, agrees to indemnify and save harmless the said City of Staunton, VA, from
any and all liability, loss, damage, cost or expense which the participant may hereafter incur, suffer or be required to pay by reason of said participation in the City of
Staunton, VA. The undersigned agrees to pay the complete exoneration of said City,
any claim made against the City of injury or damages to persons or property caused
by said participation, and to further indemnify and hold harmless said City from any
costs incurred with respect to the defense of any such claim. If said participant is a
minor child under 18 years of age, the signature of a parent or legal guardian shall
constitute the same indemnification as provided above. The Recreation Department
may use photos taken during programs/classes/athletics/trips for advertising and
marketing purposes, contact the Department if you do not want your image used.
SIGNATURE_______________________________________________________________
Travel Policy
All trips are to be paid in full when signing up unless another specific option is available where a minimum of 50% deposit is required for each person. Once a payment
is received from a patron they are considered to have an official spot on the trip if
there is available space. All patrons understand that there is a no refund policy in
effect unless the Recreation department decides to cancel a trip. It is at the Recreation
department’s discretion on the cancellation of trips and most will be done in a timely
manner. In some extreme cases such as death or serious medical conditions a refund
may be available to a patron of a trip minus any expense the Recreation department
may incur. Name changing fees may occur on trips involving plane flights. In cases
regarding deposits; if the balance isn’t paid by the deadline, patron may lose full
deposit and spot on the trip.
Before registration form is complete, you will be required to sign and date on the line
below that you have read, understand and accept this addition to our registration
process.If registering for a trip, please list EMERGENCY CONTACT (name, address
and phone number):
SIGNATURE_______________________________________________________________
Walk-in: Irene Givens Admin Building - Montgomery Hall Park
1000 Montgomery Ave - Staunton, VA 24401
Mail-in: Mail your completed registration form & check to:
Staunton Parks & Recreation Department - PO Box 58 - Staunton, VA 24402-0058
www.staunton.va.us/recreation - www.facebook.com/StauntonRecreationParks
www.staunton.va.us/recreation
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