Satellite Beach Recreation Department Registration
Form
·
This
form is for participants that have already signed a City release waiver
for the Recreation Department.
If a City release waiver has not already been signed, you must
sign one at the Recreation Office before the participant can register.
It is not necessary to use this form if you have registered with us
since August 2005.
·
Please print and fill out
all registration information completely.
Questions, call 773-6458.
·
This form is to be used for
programs offered by the City Recreation Department only. Checks are made
payable to the City of Satellite Beach unless otherwise noted.
Payments for some programs such as Soccer, Little League,
Basketball, Football, etc. are made payable to that particular
organization and requires a different registration process.
In most cases, the “Pay to” is noted with the program
information.
·
Keep in mind that most
programs fill up quickly! If
you use this form, call ahead to make sure there is space available.
A student is registered in the program when payment is
received. Mail to: Satellite Beach Recreation Department, 1089 South
Patrick Drive, Satellite Beach, Fl. 32937
Parent
Name: ___________________________M/F______ Home Phone: (______)
________- _________
(if participant is a minor)
Daytime
Phone: (_______) ______-_________
____________________________________________________________________________________
Mailing
Address
City
State Zip
Email address
Parent
Date of Birth:_______________________
Parent Medical Concerns:_____________________
Emergency
contact: Name:
_______________________________________ Relationship ___________
Emergency
phone, other than home: (_____)
_____-___________
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Participant
Name
(First
& Last Names)
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Sex
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D.O.B
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Activity
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Course
Number
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Start
Date
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Day/Time
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Fee
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Medical Concerns for
any participant (list
participant and detailed descriptions)
Total
Fees:_______
_______________________________________________________________________________
_______________________________________________________________________________
How do I register?
q
Registration
can be completed by making the class payment at the Satellite Beach
Recreation Dept., 8:30am-6 pm M-F or by completing the above form and
mailing it to our office. To
attend an activity in which there is no charge, call our office at
773-6458 to place the participant’s name on the program list.
q
When
determining grade for your child, use the 2008-2009 school
year.
How do I get a refund?
q
Call
the Recreation Department, 773-6458 to make a refund request.
You must make your request directly to the Rec. Dept. staff
(phone messages will not be accepted).
q
If
you notify the Department about your withdrawal three
business days prior to the start of the first class you will receive a
full refund, unless otherwise noted.
If you notify the Dept. later than three days but before the 1st
day of the class, you will receive a partial refund.
No refunds the day of or after the class has begun.
q
If a class/program is canceled, you will be notified
of the change and a refund will be issued.
q
Refund
processing takes up to three weeks and you will receive a check in the
mail.
NSF and Return Check Policy
q
The
following fees will be assessed on any NSF or Returned Check.
Check writing privileges may also be suspended.
q
$25
fee- for checks up to $50; $30 fee – for checks from $50 - $300
q
$40
or 5% fee (whichever is greater) for checks greater than $300