Registration

STEP 1: registration information
I want to register for:
You must select a program.
Park requested:
You must select a park.
STEP 2: participant information
Name of participant
You must enter the participant's name.
Address
You must enter the participant's address.
City
You must enter the participant's city.
State
You must select the participant's state.
Zip
You must enter the participant's zip.
Date of Birth
You must enter the participant's date of birth.
Gender (optional)
Years Enrolled in CityParks Golf? (optional)
Participant's ethnicity (optional):
Participant's current school (optional):
Is participant eligible for free or reduced lunch in school? (optional)
STEP 3: parent/guardian consent
Your name:
You must enter your name.
Your email:
You must enter your email.
Your phone:
You must enter your phone number.
CityParks Golf is a program of City Parks Foundation, supported by the René Lacoste Foundation. I am the parent or guardian of the above named applicant. I hereby acknowledge that the information provided on this application is correct and I verify that my child or ward is in good health and has permission to participate in the CityParks Golf, a program of City Parks Foundation (CPF). I grant permission to CPF to use any photographs, motion pictures, recordings or any other record of this event for any legitimate purpose (including commcercial use by the sponsor) without compensation. I assume the risk of personal injury or property damage that my child or ward may sustain. I waive any and all rights and claims against City Parks Foundation, The New York Department of Parks & Recreation, the René Lacoste Foundation, and/or their employees for any injury and/or property damage suffered while participating in the program. I release the sponsors from any liabilities, damages, and expenses whatsoever that may be incurred as a result of my child/ward's participation in this program.
I am the parent or guardian of the listed participant and agree to terms listed above.
You must agree to the terms above.
Date:
09/01/2014