North Plainfield Recreation

Catch the Fun!

2013 ADULT SPORT REGISTRATION Participants Must Be 18 Years or Older, not in High School and Residents or Employees of the Borough of North Plainfield

At Time of Registration You Will Need:

• • Registration fee • Photo ID Proof of residency or employment with the Borough of North Plainfield •

Registration takes place during:

• Youth Registration at Vermeule Community Center located at 614 Greenbrook Road or Drop off in mailbox at Recreation office located at 93 Greenbrook Road Make checks payable to: Boro of N. Plainfield Recreation Player’s Name:_________________________________________ Gender: Male / Female Player’s Address:_____________________________________________________________________________ Home Phone:_____________________________ Cell Phone:___________________________ Email:_________________________________________________________________________ Allergies / Medical Problems:__________________________________________________________________ I have read or will read the North Plainfield Parks and Recreation Code of Conduct policies located at www.np-recreation.com . I agree to abide by policies established by the North Plainfield Recreation Commission.

Softball $45 Adult Shirt Size (circle one) : SM MED LG XL XXL XXXL Archery $40 Adult Shirt Size (circle one) : SM MED LG XL XXL XXXL Basketball $35 Volleyball $35 Badminton $20 Zumba $20 plus $5 per class $1 will go towards the N.P.H.S. Scholarship Fund What is your level of playing experience? Beginner Average Expert Signature:___________________________________________________ Amount Paid Check: _________ Cash: _________

North Plainfield Parks & Recreation 263 Somerset St.

North Plainfield, NJ 07060 www.np-recreation.com

Picture/Video Release: I agree that by participating in a Borough of North Plainfield Recreation Department event they may use my picture for publication.

Contact: Dennis Passe [email protected]

1-908-403-9752

Modified 7/30/2013