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Adult Recreation Registration - 2017 - April 2018

  1. Want an easy way to register for the recreation programs you're interested in? Just complete and submit the form below in its entirety, along with the consumer information data forms, and return them to: c/o Recreation Department, Northview School, 8114 N. Main St., Dayton, OH 45415. You will receive a confirmation letter for the event/activities you get to participate in, as well as an invoice for the activities. Please remember: All events are filled on a first-come, first served basis, so register early. You will be notified if you are closed out of any events/activities. An assessment may be needed for individuals who are new to the Recreation program.

  2. Please place a checkmark next to the events/activities that you/your individual wishes to attend. A check next to any of the ongoing events will indicate to us that you wish to be registered for the entire duration of that activity. Registration will be held in person at Northview and Liberty Centers on June 3, 2017 for families, and June 17, 2017, for residential agencies. All registrations are held from 10 a.m. to 2 p.m. Registration will be time stamped and will not be accepted until 10 a.m. on June 3.

  3. This registration form acts as an application to the events listed. You will receive a packet in the mail, informing you of the activities for which you are confirmed. Abbreviations on the check-off list include: NV = Northview; LC = Liberty Center; SV = Southview; WC = We Care Arts; FSS = Family Support Service Program Funding. Addresses can be found in the 2017 RECREATION AND YOU booklet.

  4. Ongoing Events/Activities

    Please place a checkmark next to the events for which you wish to register.

  5. Organization-Sponsored Events

    Locations of activities are listed in parentheses following the event.

  6. Fitness Activities

    We believe these are important and will make every attempt to find a way for each individual to participate in some of the activities.

  7. Classes

    You can check off up to ten (10) activities. After you check off those you want to attend, you may mark a "W" next to activities to be added to their waiting list.

  8. Social Interaction Club

    You can check up to one (1) per month, per person. You need to have an assessment to determine if you can sign up for this. If you sign up for this service, you will not be eligible for the other activities on this check off list. This is not an option for anyone in a residential setting.

  9. Social Activities

    You can check off up to twelve (12) of these activities. You cannot do both Monday and Thursday night Recreation, or both Movie Madness North & South. If you have checked off twelve (12) activities and would like to be added to the waiting list for others, please mark a "W" next to those that interest you. You do not have to re-register for activities you signed up for on the previous registration.

  10. Interest Groups

    You can register for up to two (2) Interest Groups. Make sure that you meet the qualifications for the group. If you have checked off two (2) interest groups and wish to be placed on the waiting list for other activities, please mark a "W" next to the event name.

  11. Field Trips

    You can register for up to nine (9) trips. If you have checked off nine (9) field trips and would like to be put on the waiting list for other trips, please mark a "W" next to the event name. You can only do three (3) B&B trips and two (2) Reds Games in a calendar year.

  12. Overnight Trips

    First preference will be given to individuals who have not done an overnight trip in 2017.

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