Friday, February 21

Tuesday, February 18 - Friday, February 21

This fun program is designed for children in grades 1-5! Join us from 8:30am-4:30pm, Tuesday—Friday at the Aquatic & Family Center, located at JFK Middle School. Each day will be lead by program supervisors and have a theme, involve games, crafts, swimming & more! Children must bring a swimsuit, towel, lunch & snack each day. Warm clothing for games in the snow is also recommended. Tuesday: Games Extravaganza! Wednesday: Winter Wonderland Relays, Team Games, & so much more! Celebrate all the fun of Winter with a special Nature walk and more! Thursday: Great Skate Friday: Fantastic Friday!

Join us for a bus trip to InterSkate 91 in Hadley! Best of the Best Games, a Movie, and special snack surprise!

Fees: ***Non-residents add $10 per child*** Tuesday, Wednesday, Friday: $40 Thursday: (Trip to Interskate 91 in Hadley) $50

Return bottom with payment to the Parks & Recreation Department, 100A Bridge Road, (next to JFK Middle School) by mail or in person Monday-Friday, 8:30am-4:30pm. For further information: www.northamptonma.gov/recreation or 413-587-1040. SEE REVERSE FOR MORE DETAILS AND MOVIE PERMISSION SLIP Turn Over for Waiver

Northampton Parks & Recreation 2020 Fun in February Vacation Program Child’s Name—First & Last Gender Date of Birth Age Grade School

PARENT/GUARDIAN Parent 1/Guardian Parent 2/Guardian (complete if any field is different) First & Last Name Street Address City or Town Zip Code Home Phone # Mobile Phone # Work Phone # Email Address

Special Comments (allergies, requests, to be noted, etc.)

Emergency Contact *other than guardian* Name: Number: Please Check Program Days Attending: $40 _____ Tuesday, Feb. 18 *Non-Residents add $10 per child* $40 _____ Wednesday, Feb. 19 Total Fee Enclosed $______$50 _____ Thursday, Feb. 20* Trip

$40 _____ Friday, Feb. 21

Charge my [circle one]: Visa/MasterCard/Discover Card #______Expiration Date:______

Name on Card:______Signature of Card Holder ______Checks payable to the “Northampton Parks & Recreation Department” For Office Use: Total paid $______Cash/ Check/Charge RCVD By ______Date______RecTrac Entered______Date______Welcome to the 2020 “Fun in February” Vacation Program. We have lots of fun activities planned for the children. Each day will include swimming, Arts & Crafts, indoor and - weather permitting - outdoor activities as well as special theme events and surprises. The following is the information about the program. VACATION DAY/HOURS: THEME Tuesday, February 18 8:30am-4:30pm Game Extravaganza! - Relays, team games, & so many games! Wednesday, February 19 8:30am-4:30pm Wonderland Day – Winter Fun with a special Nature walk, maybe sledding, and more! Thursday, February 20 8:30am-4:30pm Great Skate - Join us for a bus trip to InterSkate 91 in Hadley.

Friday, February 21 8:30am-4:30pm Fantastic Friday– Best of the Best Games, a movie, and special snack surprise! WHEN YOU ARRIVE: WHEN YOU PICK UP YOUR CHILD: Please enter the Aquatic and Family Center located at the We will be in the gym by 4:15PM. (If you come sooner you may J.F.K. Middle School, through the back door, across from the tennis courts. find us in the community room or cafeteria) Each day begins with sign in, at the gym, starting at 8:30AM. Please remember, you must sign out your child! At drop off, please verify who will be picking up for your child and Pick–up must be by 4:30pm. inform of us of any other considerations for your child. WHAT TO BRING EACH DAY: WHAT NOT TO BRING :  Lunch, drinks & snacks (that doesn’t require refrigeration) Please do NOT send your child with hand held games, toys, or  Swimsuit & Towel (WE WILL BE SWIMMING EVERY DAY IN THE POOL) anything valuable. Electronics and toys are distracting & are NOT *If your child does not want to swim then bringing a book to read is a good alternative*  Sneakers allowed on Vacation Program Days.  Warm clothes to play outside, i.e boots, gloves, hat, winter coat *We cannot be responsible for lost, damaged or stolen items.* In case of inclement weather, You may call the Parks & Recreation Department Cancellation/Hotline @ (413)587-1044. A recording will let you know of any postponements or cancellations. Also, please visit our website at www.northamptonma.gov/recreation for the latest cancellation information.

Northampton Parks & Recreation 2020 Fun in February Vacation Program Northampton Parks & Recreation Department Vacation Week Program, February 18–21, 2020 Movie Permission Slip My child, ______has my permission to watch a movie rated PG with the Northampton Parks & Recreation Department’s Vacation Program. The movie will be watched at JFK Middle School.

Parent/Guardian Signature______Date______

Northampton Parks & Recreation Recreational and Volunteers Activities Release Form

I, the undersigned, do hereby consent to my participation in voluntary or recreation programs of the City of Northampton. I also agree to forever release the City of Northampton, and all their employees, agents, board members, volunteers and any and all individuals and organizations assisting or participating in any voluntary or recreation programs of the City of Northampton from any and all claims, rights of action and causes of action that may have arisen in the past, or may arise in the future, directly or indirectly, from personal injuries to myself or property damage resulting from my participation in the City of Northampton voluntary activities or programs. I also promise, to indemnify, defend, and hold harmless the Releasees against any and all legal claims and proceedings of any description that may have been asserted in the past, or may be asserted in the future, directly or indirectly, arising from personal injuries to myself or property damage resulting from participation in the City of Northampton voluntary activities or recreation programs. I further affirm that I have read this Consent and Release From and that I understand the contents of this Form. I understand that my participation is voluntary and that I am free to choose not to participate in said programs. By signing this form, I affirm that I have decided to participate in the City as a volunteer or in its recreation programs with full knowledge that the Releasees will not be liable to anyone for personal injuries and property damage that I may suffer in voluntary activities with the City of Northampton or recreation programs.

Participant Signature or Parent/Legal Guardian if under 18 years old: ______Date:______