name address
zip CityParks phone email
AGE Seniors new participant? Y N
Part icipant Agreement Fitness TENNIS • YOGA • WALKING 1) I verify that I have consulted with my doctor and have June 22, 2012 permission to participate in CityParks Seniors Fitness, administered by City Parks Foundation (CPF). I understand April 30 - and assume the risk incidental to any of the activities I will participate in, and I release, and agree to hold harmless CPF, The City of New York / Parks & Recreation and any other sponsors and the parents, subsidiaries, agents, officers, and employees thereof from any and all liabilities resulting from such causes. 2) During the time of my participation, I hereby grant CPF, its employees, and its agencies full authority to take whatever actions they consider to be warranted for the protection of my health and safety. In addition, I also hereby release each of them from any liability from any such decision and actions taken by them forthwith. The authority shall include the right to obtain, and without further consent, appropriate medical services and treatment. 3) I grant CPF, the City of New York / Parks & Recreation and its subsidiaries, the right to videotape, film, and photograph me, and the right, in perpetuity, to use my FREE name, likeness, biographical information and voice in all LESSONS forms of media (including the internet) in connection with for adults ages 60+ the advertising and promotion of CPF and/or the City PROMOTING HEALTHY of New York / Parks & Recreation. LIFESTYLES IN NYC P ARKS Signed SUPPORTED BY Zwicker Electric; New York City Council under the Leadership of Christine C. Quinn; NYC
Date SPRING 2012 Olmsted Center Flushing Meadows Park, NY 11368 City Parks Foundation Parks City Council Member Jessica Lappin.
IN COOPERATION WITH
fun For information, call information, For FREE over, or 60 age are you If E and keep active. keep and of arthritis. of symptoms the minimize and diabetes, and disease heart for risk our reduce weight, lose Seniors Fitness Seniors
help us feel and look better, maintain or maintain better, look and feel us help can amounts, moderate in even xercise, Have getting
way this spring to get started get to spring this way
Learn a new activity and make new friends in your neighborhood park.
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CityParks 760-6999 ...
or visit or SIGNATURE SPONSOR 11368 NY Park, Meadows Flushing Center Fitness,Olmsted Seniors Foundation Parks City to: mail and application attached the complete register, To Van Cortlandt Park/Woodlawn Cortlandt Van QUEENS Greenbelt Park Greenbelt STATEN ILAND Park Oxford South Park Marine Park Kaiser BROOKLYN MANHATTAN BRONX John Jay Park • Thomas Jefferson Park Jefferson Thomas • Park Jay John Flushing Meadows Corona Park • Park Corona Meadows Flushing YOGA INSTRUCTION FITNESS WALKS TENNIS LESSONS www.CityParksFoundation.org
Pelham Bay Park • Soundview ParkSoundview • Park Bay Pelham Astoria Park • Park Astoria
See you on the first day
of class! ParkSchurz Carl
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on back. on agreement Partic ipant sign and read and application this complete Please
outh OxfordPark Tennis M/W10 AM YOGA W/F9AM YOGA W/F11AM TENNIS W/F10AM YOGA M/W9AM Tennis /h11AM Tennis /h10AM yoga M/W9AM walking T/h9AM YOGA M/W10AM WALKING M/W9AM YOGA T/h9AM #
FREE
and include free use of use free include and
p p St 177 & Blvd Baisley Tennis Courts Roy WilkinsPark p p Rd Tennis CourtsMeridian Corona Park Flushing Meadows p p St 193 & Turnpike Union Tennis Courts Cunningham Park p S Ave Hoyt & St 21 Tennis Courts Astoria Park QUEENS p Park Thomas Jefferson p John Jay Park p p Ave End East & St 86 E. Carl SchurzPark MANHATTAN 112 St & 1st Ave 1st & St 112 E. 77 St & Cherokee Place Cherokee & St 77 E. YOGA M/W9AM Tennis /h10AM YOGA M/W11AM Tennis M/W10AM YOGA T/h10AM Tennis /h9AM Tennis M/W10AM YOGA M/W10AM YOGA T/h10:30AM YOGA T/h9AM WALKING M/W8AM
Please
equipment.
chek
register