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Recreation
2 Holcomb Street
3rd Floor
Hartford, CT 06112
(860) 543-8876
Hours of Operation: 8:00am - 5:00pm
Division Manager,
Penny Leto
Mission
The mission of the Division is to enhance the quality of life for
Hartford residents through the provision of varied recreational
activities. To help develop and maintain a balanced, healthy, safe
lifestyle and easily accessible system of parks, playgrounds, swimming
pools, beachfront, recreational facilities and programs. On this web
site, you will find information about a variety of recreational
programs, special facilities, sports programs, and programming for
seniors and people with disabilities, a detailed list of our capital
improvement projects and much more. All of these items reflect our
efforts to carry out our mission and to continually contribute to the
quality of life enjoyed by citizens and visitors in Hartford. If you
need additional information please contact us!
Penny Leto
Superintendent of Recreation
Come join us at the Elizabeth Park Pond House
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The Recreation and Youth Services
Division exists to promote quality of life and positive
personal, social, educational and economical development of
children, youth and families in the City of Hartford. The
Division operates year-round programs at recreational centers,
gymnasiums, playgrounds and swimming pools as well as
coordinates many other services together with community based
organizations. The Division manages the Hartford Youth Services
Bureau, implements a City-wide comprehensive summer program,
serves as a resource clearing house on youth issues, and
coordinates and monitors many related programs sponsored by the
City of Hartford.
To get information about
our City Wide Programs and Sports Activities, call the Recreation
Hotline at (860) 543-8877.
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HARTFORD RECREATION CENTERS
Division/Program
Hours of Operations:
Main Office 8-5pm
Centers Open
Recreation
fall/winter/spring
hours 3-6 PM ages 8-13 6-9 PM ages 14 & up
School vacation
hours 12-5 PM
Summer 4-8 PM
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ANDERSON
CENTER
2621 MAIN STREET
722-6525
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POPE
PARK CENTER
30 POPE PARK DRIVE
722-6481
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HYLAND CENTER
355 NEW BRITAIN AVENUE
722-6560
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WILLIE
WARE CENTER
697 WINDSOR
STREET
722-6537
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METZNER
CENTER
680 FRANKLIN
AVENUE
722-6549
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BLUE HILLS CENTER - 9 LEBANON STREET -
722-8054
GOODWIN PARK POOL - SOUTH STREET -
722-6532
KENEY POOLS & SPLASH - WOODLAND STREET -
722-6565
COLT PARK POOLS & SPLASH PAD - 106
WETHERSFIELD AVENUE - 722-6478 |
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GOLF COURSES Keney Park
Golf Course
www.keney.americangolf.com
280 Tower Ave 525-3646
Goodwin Park Golf Course
www.goodwin.americangolf.com
1130 Maple Ave 956-3601
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POPE PARK CTR 2008
FUNCATION
Registration Form
(Form must be filled out
completely and signed by parent/guardian)
Ages 8-12
June 30– August 15th
(9:00-9:30 breakfast) 10:00am-3: 00pm
First Name:
________________________ Last Name: __________________ Age:
_____________
Address:
___________________________________________ Zip Code:
____________________
Birth Date:
__________________ School___________________________ Grade
completed in June_______
Home phone:
______________Workphone: ____________________ Beeper:
__________________
Incase
of emergency if you cannot be reached, whom should
we contact?
Name:
__________________ Phone #’s : ___________________
____________________
Can your
child be released to this person in case of emergency or
illness? [] Yes [] No
Has you
child attended FUNCATION before? [] Yes, when?
_____________________ [] No
Will your
child walk to and from the program on his/her own each
day? [] Yes [] No
Does the
child have health insurance? [] Yes [] No
Name of
insurance:_________________________________
Name of
insured person: _________________________________Insurance #:
_______________________
Your child’s
Medicaid number:
_______________________________________________________________
Are you in a
Medicaid managed care plan? [] No [] Yes, name of
provider: ______________________________
Name of
pediatrician/Pediatric clinic:
_________________________________________________________
Health
History
Allergies
Chronic Illness
(Check if
“yes”)
(Check if
“yes”)
(Check if “yes”)
[] Chicken pox []
Measles [] Hay Fever []
Insect Sting
[] Earaches [] Sinus
[] German Measles []
Mumps []
Asthma [] Ivy, Oak etc
[] Throat Problems
[] Whooping
Cough
[] Medicine, _________________ []
Infections [] Diabetes
[] Other,
_______________ [] Foods,
___________________ [] Epilepsy
Date of last tetanus
booster___________ [] other,
____________________ [] other,
____________________
Date of last physical
exam_____________
Does your child have any
medical problems we should be aware of: [] No [] Yes,
__________________________________________
Does you child have to take
daily medications? [] No [] Yes,
________________________________________________________
Does your child wear glasses
or contact lenses? [] Yes [] No
Are there any issues,
situations, or special concerns that the staff should be
aware of? [] No [ ] Yes, Please
explain:____________________
___________________________________________________________________________________________________________
I hereby request that my
child be enrolled in the City’s
FUNCATION Program.
I give my permission for my child to participate in all
FUNCATION activities,
which may include supervised trips. I understand that the
City is responsible for my child while attending the
program. I am (Parent/guardian) responsible for providing
transportation or making arrangements to get my child to the
FUNCATION in the
morning and picking up immediately after
FUNCATION
is over in the afternoon.
If I can not
be reached in a medical or dental emergency involving the
child listed above, I hereby give permission to any medical,
dental personnel selected by the program director to
hospitalize and/or secure or provide treatment for that
child, including injections, surgery, and all procedures
that the selected medical or dental personnel deem necessary
or appropriate to treat the emergency condition.
I hereby agree that all
photographs, videos, negatives, prints, paintings, drawings,
sketches, reproductions, and likenesses of any kind made by
my child are and shall remain the property of the City’s
FUNCATION Program, its
successors, and assigns. I give my irrevocable consent that
said works, or any part thereof, may be published,
displayed, reproduced, and circulated in any form by the
City’s FUNCATION Program, with or without the child’s name,
for commercial purposes or otherwise, including
advertisement in any media, and with or without any
testimonial copy or other form of advertising display.
I understand that slots
are filled on a first come first served basis. Program
dates, & schedules are subject to change.
Parent/Guardian: _______________________________
__________________________ ____________
Signature
Print Name
Date
Please
return this form by ________________________________ to the
Anderson CTR, M-F between the hours of 10am-6pm, Blue Hills
& Willie Ware 3-6pm or Mail to FUNCATION PROGRAM,
Recreation & Youth Services, 2 Holcomb St, Hartford, CT
06112./Fax 722-6499
For questions or more information,
please call 543-8876.
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City Of Hartford
Department of Health & Human Services
Recreation Division
2008 Summer Aquatic Group Registration Form
Application due date is June 13, 2008
Pool location:
___________________________________________________________
Height requirements: Colt & Keney Pools-36” Pope-42”
Goodwin-50”
Name of Group/Organization:
_______________________________________________
Address:
________________________________________________________________
Contact(s):
___________________________________________ Phone:
___________
# Of children in the group: ______________
Counselor/child ratio: _____________
Days & times requested:
___________________________________________________
Please provide us with a list of any
accommodations that any individual child may need within
your group due to a physical challenge or medical condition.
(I.e. diabetes, seizures, asthma etc.) Thank You.
If you are participating in our free swim
program, the group must provide a counselor/leader: child
ratio of 1:10. The counselors/leaders must be clearly
identifiable (i.e. staff shirt, badge, etc.) to the
lifeguards on duty. Thank You for your cooperation.
Application: [] Approved
[] Not approved because
______________________________________
________________________________________________________
________________________________________________________
[] Approved if
______________________________________________
________________________________________________________
________________________________________________________
*THIS REGISTRATION FORM WILL BE KEPT ON FILE
AT THE SITE & MAIN OFFICE*
FOR OFFICE USE ONLY:
REVIEWED BY:
_______________________________________ DATE:
___________________
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2008 Kelvin D Anderson CTR FUNCATION - Ages 8-12
Registration Form (Form must be filled out completely and
signed by parent/guardian)
Which FUNCATION Program location are you applying for? []
Kelvin D. Anderson
[] Blue Hills [] Willie Ware
June 30– August 15th (8:00- 8:30 breakfast) 8:30am-3: 30pm
(Registration & Orientation June 23-27th)
First Name: ________________________ Last
Name: _________________________ Age: _____________
Address: __________________________________________________
Zip Code: ____________________
Birth Date: __________________
School___________________________ Grade completed in
June_______
Home phone: ____________________Work phone:
_____________________ Beeper: __________________
Incase of emergency if you cannot be
reached, whom should we contact?
Name: ______________________________ Phone #’s :
___________________ ____________________
Can your child be released to this person in case of
emergency or illness? [] Yes [] No
Has you child attended FUNCATION before? [] Yes, when?
_____________________ [] No
Will your child walk to and from the program on his/her own
each day? [] Yes [] No
Does the child have health insurance? [] Yes [] No Name of
insurance:_________________________________
Name of insured person:
_________________________________Insurance #:
_______________________
Your child’s Medicaid number:
_______________________________________________________________
Are you in a Medicaid managed care plan? [] No [] Yes, name
of provider: ______________________________
Name of pediatrician/Pediatric clinic:
_________________________________________________________
Health History Allergies Chronic Illness
(Check if “yes”) (Check if “yes”) (Check if “yes”)
[] Chicken pox [] Measles [] Hay Fever [] Insect Sting []
Earaches [] Sinus
[] German Measles [] Mumps [] Asthma [] Ivy, Oak etc []
Throat Problems
[] Whooping Cough [] Medicine, _________________ []
Infections [] Diabetes
[] Other, _______________ [] Foods, ___________________ []
Epilepsy
Date of last tetanus booster___________ [] other,
____________________ [] other, ____________________
Date of last physical exam_____________
Does your child have any medical problems we
should be aware of: [] No [] Yes,
__________________________________________
Does you child have to take daily medications? [] No [] Yes,
________________________________________________________
Does your child wear glasses or contact lenses? [] Yes [] No
Are there any issues, situations, or special concerns that
the staff should be aware of? [] No [ ] Yes, Please
explain:____________________
___________________________________________________________________________________________________________
I hereby request that my child be enrolled in the City’s
FUNCATION Program. I give my permission for my child to
participate in all FUNCATION activities, which may include
supervised trips. I understand that the City is responsible
for my child while attending the program. I am
(Parent/guardian) responsible for providing transportation
or making arrangements to get my child to the FUNCATION in
the morning and picking up immediately after FUNCATION is
over in the afternoon.
If I can not be reached in a medical or dental emergency
involving the child listed above, I hereby give permission
to any medical, dental personnel selected by the program
director to hospitalize and/or secure or provide treatment
for that child, including injections, surgery, and all
procedures that the selected medical or dental personnel
deem necessary or appropriate to treat the emergency
condition.
I hereby agree that all photographs, videos, negatives,
prints, paintings, drawings, sketches, reproductions, and
likenesses of any kind made by my child are and shall remain
the property of the City’s FUNCATION Program, its
successors, and assigns. I give my irrevocable consent that
said works, or any part thereof, may be published,
displayed, reproduced, and circulated in any form by the
City’s FUNCATION Program, with or without the child’s name,
for commercial purposes or otherwise, including
advertisement in any media, and with or without any
testimonial copy or other form of advertising display.
I understand that slots are filled on a first come first
served basis. Program dates, & schedules are subject to
change.
Parent/Guardian: _______________________________
__________________________ ____________
Signature Print Name Date
Please return this form by ________________________________
to the Anderson CTR, M-F between the hours of 10am-6pm, Blue
Hills & Willie Ware 3-6pm or Mail to FUNCATION PROGRAM,
Recreation & Youth Services, 2 Holcomb St, Hartford, CT
06112./Fax 722-6499
For questions or more information, please call 543-8876.
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POPE PARK CTR 2008
FUNCATION
Registration Form
(Form must be filled out
completely and signed by parent/guardian)
Ages 8-12
June 30– August 15th
(9:00-9:30 breakfast) 10:00am-3: 00pm
First Name:
________________________ Last Name:
_________________________ Age: _____________
Address:
__________________________________________________ Zip Code:
____________________
Birth Date:
__________________ School___________________________ Grade
completed in June_______
Home phone:
____________________Work phone: _____________________
Beeper: __________________
In case
of emergency if you cannot be reached, whom should
we contact?
Name:
______________________________ Phone #’s :
___________________ ____________________
Can your child be released to this person in case of
emergency or illness? [] Yes [] No
Has you
child attended FUNCATION before? [] Yes, when?
_____________________ [] No
Will your
child walk to and from the program on his/her own each
day? [] Yes [] No
Does the
child have health insurance? [] Yes [] No Name of
insurance:_________________________________
Name of
insured person: _________________________________Insurance
#: _______________________
Your child’s
Medicaid number:
_______________________________________________________________
Are you in a
Medicaid managed care plan? [] No [] Yes, name of
provider: ______________________________
Name of
pediatrician/Pediatric clinic:
_________________________________________________________
Health History
Allergies
Chronic Illness
(Check if
“yes”)
(Check if
“yes”)
(Check if “yes”)
[] Chicken pox []
Measles [] Hay Fever []
Insect Sting
[] Earaches [] Sinus
[] German Measles []
Mumps []
Asthma [] Ivy, Oak etc
[] Throat Problems
[] Whooping
Cough
[] Medicine, _________________ []
Infections [] Diabetes
[] Other,
_______________ [] Foods,
___________________ [] Epilepsy
Date of last tetanus
booster___________ [] other,
____________________ [] other,
____________________
Date of last physical
exam_____________
Does your child have any
medical problems we should be aware of: [] No [] Yes,
__________________________________________
Does you child have to take
daily medications? [] No [] Yes,
________________________________________________________
Does your child wear glasses
or contact lenses? [] Yes [] No
Are there any issues,
situations, or special concerns that the staff should be
aware of? [] No [ ] Yes, Please
explain:____________________
___________________________________________________________________________________________________________
I hereby request that my
child be enrolled in the City’s
FUNCATION Program.
I give my permission for my child to participate in all
FUNCATION activities,
which may include supervised trips. I understand that the
City is responsible for my child while attending the
program. I am (Parent/guardian) responsible for providing
transportation or making arrangements to get my child to the
FUNCATION in the
morning and picking up immediately after
FUNCATION
is over in the afternoon.
If I can not
be reached in a medical or dental emergency involving the
child listed above, I hereby give permission to any medical,
dental personnel selected by the program director to
hospitalize and/or secure or provide treatment for that
child, including injections, surgery, and all procedures
that the selected medical or dental personnel deem necessary
or appropriate to treat the emergency condition.
I hereby agree that all
photographs, videos, negatives, prints, paintings, drawings,
sketches, reproductions, and likenesses of any kind made by
my child are and shall remain the property of the City’s
FUNCATION Program, its
successors, and assigns. I give my irrevocable consent that
said works, or any part thereof, may be published,
displayed, reproduced, and circulated in any form by the
City’s FUNCATION Program, with or without the child’s name,
for commercial purposes or otherwise, including
advertisement in any media, and with or without any
testimonial copy or other form of advertising display.
I understand that slots
are filled on a first come first served basis. Program
dates, & schedules are subject to change.
Parent/Guardian: _______________________________
__________________________ ____________
Signature
Print Name
Date
Please
return this form by ________________________________ to the
Anderson CTR, M-F between the hours of 10am-6pm, Blue Hills
& Willie Ware 3-6pm or Mail to FUNCATION PROGRAM,
Recreation & Youth Services, 2 Holcomb St, Hartford, CT
06112./Fax 722-6499
For questions or more information,
please call 543-8876.
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Parker Memorial Center/Kelvin D. Anderson Gymnasium
2621 North Main Street
Hartford, CT 06120
Directions (link)
Phone: (860) 722-6525
Fax: (860)
Supervisor(s)
Edward Doughtie, ACRC 543-8876
Jose Caraballo, ACRC Aquatics 543-8876
Hours of Operation
Monday – Friday 10am-12 noon Weight Room (ages 21+)
3-6pm (ages 8-13)
6-9pm (ages 14 & up)
Saturday 12-4pm
Features & Amenities
• Gym
• Game room
• Weight Room
• Pool (undergoing construction)
• 2 multi purpose meeting rooms
What’s happening at the center?
Regular activities
Special events/programs
Regular meetings events
Council Committee Meetings
For more information on classes, room rentals & open gym
call 543-8876.
Pope Park Recreation Center
Hillside & Pope Park Drive
Hartford, CT 06106
Directions (link)
Phone: (860) 722-6480/722-6481
Supervisor(s)
Jose Caraballo, ACRC Aquatics 543-8876
Hours of Operation
Monday – Friday 7 am-10am Weight Room & pool (adults)
3-6pm (ages 8-13)
6-9pm (ages 14 & up)
Saturday 12-4pm
• Gym
• Game room
• Weight Room
• Pool
• Multi purpose meeting rooms
• Arts & Crafts Room
• Computer Lab
• Indoor & outdoor pool
• Playground
• Soccer field
• Football field
• Baseball field
• Ample Parking
• Warming kitchen What’s happening at the center?
Regular activities
Special events/programs
Regular meetings events
Council Committee Meetings
For more information on classes, room rentals & open gym
call 543-8876.
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City
of Hartford
Department of Human Services
Recreation Division
2008 Swimming Lesson Registration Form
This form must be filled out completely and signed by a
parent or guardian.
Colt
Goodwin
Keney
Pope
Slots are filled on a first come first served basis. Thank
you for your cooperation.
There are height requirements for every pool: Colt & Keney
36”, Pope 42” & Goodwin 50”
Name:
__________________________________________________________________________________________________
Address:
______________________________________________________________
Zip Code: __________________________
Date of Birth:
_______________________________________________ Age:
____________________________ [] Male [] Female
Parent/Guardian:___________________________________________________________________________________________
Address:
______________________________________________________________
Zip Code: __________________________
Phone Number(s): (home)
_____________________________________ (work)
________________________________________
(Pager)___________________________________________________
(cell) __________________________________________
In an emergency if you cannot be reached, who should be
contacted?
Name: ________________________________________________________________
Relationship: _______________________
Phone Number(s): (home)
_________________(work)
________________(Pager)________________
(cell) __________________
Please list any medical conditions we should be aware of
(allergies, asthma, diabetic, etc) or medications your child
is taking:
Swim Lessons
Mondays –Fridays, 12:00pm-12:45pm
Session I June 16th – July 3rd
Session II July 7th –
July 25th
Session III July 28th – August 15th
Children will be tested to determine their skill level:
Level I: Beginning
Swimmer Level II:
Intermediate Swimmers Level III: Advanced Swimmers
Class schedules are subject to change depending on
registration & testing of applicants.
Swimming levels will be based on the number of
participants for those levels. They may include the
following:
• Level I: Introduction of Water Skills & Fundamental
Aquatic Skills
• Level II: Stroke Development & Stroke Improvement
• Level III: Stroke Refinement & Swimming and Skill
proficiency
Parent/Guardian Signature:
______________________________________________ Date:
___________________________________
(We will notify you by phone)
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Ciudad de Hartford
Departamento de Servicios Humanos
División de Recreación
Hoja de Registro – Clases de Natación 2008
Se requiere respuesta a todas las preguntas y la firma del padre/madre o
guardián
0 Colt 0 Goodwin 0 Keney 0Pope
Plaza se llenaran a base de primero en llegar, primero servido. Gracias por su
cooperación.
Colt & Keney Pool 36”, Pope 42” & Goodwin Pool 50”
Nombre:
_____________________________________________________________________________________________________
Dirección: __________________________________________________________________
Zip Code: __________________________
Fecha de Nacimiento: ____________________________________________ Edad:
___________________ [] Masculino [] Femenino
Padre/Guardián:
______________________________________________________________________________________________
Dirección: __________________________________________________________________
Zip Code: __________________________
Numero(s) de Teléfono: (hogar) ___________________________________ (trabajo)
_________________________________________
(Pager)_______________________________________________________ (celular)
________________________________________
En caso de emergencia o no le podemos alcanzar, a quien podemos llamar?
Nombre: ____________________________________________________________________
Relación: __________________________
Numero(s) de Teléfono: (hogar) ___________________________________ (trabajo)
_________________________________________
(Pager)_______________________________________________________ (celular)
________________________________________
Favor de informarnos de condiciones medicas sobre las que debemos saber (alergias,
asma, diabetes, etc.):
Lecciones de Natación
Lunes-Viernes, 12:00pm-12:45pm
0Sesión I: 16 de Julio – 3 de Julio 0 Sesión II: 7 de Julio – 25 de Julio
0 Sesión III: 28 de Julio – 15 de Agosto
Niños serán examinados para determinar su nivel de habilidad
0 Nivel I: Nadadores nuevos 0 Nivel II: Nadadores intermedios 0 Nivel III:
Nadadores avanzados
Horarios sujetos a cambios según las características de le matricula.
Los niveles de la natación serán basados en el número de los participantes
para esos niveles. Pueden incluir el siguiente:
• Nivel I: Introducción de destrezas en el agua y Destrezas acuáticas
fundamentales
• Nivel II: Desarrollo de natación y mejora de natación
• Nivel III: Refinamiento de natación y Natación y habilidades de destrezas
Firma del Padre/Guardián: ______________________________________________
Fecha: ________________________________
(Les notificaremos por teléfono)
Favor de entregar antes del 13 de Junio, 2008
José Caraballo, Asistente consejero de Recreación a la Comunidad
Recreación /Acuático
2 calle Holcomb, Hartford, CT 062112
Officina: (860) 543-8876 Fax: (860) 722-6499
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City of
Hartford
Department of Human Services
Recreation Division
2008 Swimming Lesson Registration Form
This form must be filled out completely and signed by a
parent or guardian.
FORM CHECK BOX Colt FORM CHECK BOX Goodwin FORM CHECK
BOX Keney FORM CHECK BOX Pope
Slots are filled on a first come first served basis. Thank
you for your cooperation.
There are height requirements for every pool: Colt & Keney
36”, Pope 42” & Goodwin 50”
Name:
______________________________________________________________________________________________________
Address:
___________________________________________________________________
Zip Code: __________________________
Date of Birth:
_______________________________________________ Age:
____________________________ [] Male [] Female
Parent/Guardian:
______________________________________________________________________________________________
Address:
___________________________________________________________________
Zip Code: __________________________
Phone Number(s): (home)
_________________________________________ (work)
__________________________________________
(Pager)_______________________________________________________
(cell) ___________________________________________
In an emergency
if you cannot be reached, who should be contacted?
Name:
______________________________________________________________________
Relationship: _______________________
Phone Number(s): (home)
_________________________________________ (work)
__________________________________________
(Pager)_______________________________________________________
(cell) ___________________________________________
Please list any medical conditions we should be aware of
(allergies, asthma, diabetic, etc) or medications your child
is taking:
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Swim Lessons
Mondays –Fridays, 12:00pm-12:45pm
FORM
CHECK BOX Session I
June
16th – July 3rd FORM
CHECK BOX Session II
July
7th – July 25th
FORM CHECK BOX
Session III July 28th
– August 15th
Children
will be tested to determine their skill level:
FORM
CHECK BOX Level I: Beginning
Swimmer FORM
CHECK BOX Level II:
Intermediate Swimmers
FORM CHECK BOX Level III:
Advanced Swimmers
Class schedules are subject to change depending on
registration & testing of applicants.
Swimming levels will be based on the number of participants
for those levels. They may include the following:
·
Level
I: Introduction of Water Skills & Fundamental Aquatic Skills
·
Level
II: Stroke Development & Stroke Improvement
·
Level
III: Stroke Refinement & Swimming and Skill proficiency
Parent/Guardian
Signature: ______________________________________________
Date: ___________________________________
(We will notify you by phone)
Please
return by Friday June 13th, 2008 to be eligible
for session I:
Jose
Caraballo, Assistant Community Recreation Counselor
Recreation /Aquatics
2
Holcomb Street, Hartford, CT 06112
Office: (860) 543-8876 Fax (860) 722-6499
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Ciudad de Hartford
Departamento de Servicios Humanos
División de Recreación
Hoja de
Registro – Clases de Natación 2008
Se requiere respuesta a todas las preguntas y la firma del
padre/madre o guardián
FORM
CHECK BOX Colt FORM
CHECK BOX Goodwin FORM
CHECK BOX Keney FORM
CHECK BOX Pope
Plaza se
llenaran a base de primero en llegar, primero servido.
Gracias por su
cooperación.
Colt & Keney
Pool 36”, Pope 42” & Goodwin Pool 50”
Nombre:
_____________________________________________________________________________________________________
Dirección:
__________________________________________________________________
Zip Code: __________________________
Fecha de Nacimiento:
____________________________________________ Edad:
___________________ [] Masculino [] Femenino
Padre/Guardián:
______________________________________________________________________________________________
Dirección:
__________________________________________________________________
Zip Code: __________________________
Numero(s) de Teléfono: (hogar)
___________________________________ (trabajo)
_________________________________________
(Pager)_______________________________________________________
(celular) ________________________________________
En caso de emergencia o no le podemos alcanzar, a quien
podemos llamar?
Nombre:
____________________________________________________________________
Relación: __________________________
Numero(s) de Teléfono: (hogar)
___________________________________ (trabajo)
_________________________________________
(Pager)_______________________________________________________
(celular) ________________________________________
Favor de informarnos de condiciones medicas sobre las que
debemos saber (alergias, asma, diabetes, etc.):
Lecciones
de Natación
Lunes-Viernes, 12:00pm-12:45pm
FORM
CHECK BOX
Sesión
I: 16 de Julio – 3 de Julio FORMCHECKBOX
Sesión
II: 7 de Julio – 25 de Julio
FORM
CHECK BOX
Sesión III: 28 de Julio – 15 de Agosto
Niños
serán examinados para determinar su nivel de habilidad
FORM CHECK BOX
Nivel I: Nadadores nuevos
FORM CHECK BOX
Nivel II: Nadadores intermedios FORM CHECK BOX
Nivel III: Nadadores avanzados
Horarios sujetos a cambios según las características de le
matricula.
Los niveles de la natación serán basados en el número de los
participantes para esos niveles. Pueden incluir el
siguiente:
·
Nivel I: Introducción
de destrezas en el agua y Destrezas acuáticas fundamentales
·
Nivel II: Desarrollo de natación y
mejora de natación
·
Nivel III: Refinamiento de natación y Natación y habilidades
de destrezas
Firma del
Padre/Guardián:
______________________________________________ Fecha:
________________________________
(Les
notificaremos por teléfono)
Favor de entregar antes del 13 de Junio, 2008
José Caraballo, Asistente consejero de Recreación a la
Comunidad
Recreación /Acuático
2 calle Holcomb, Hartford, CT 062112
Officina: (860) 543-8876 Fax: (860) 722-6499
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Website Contact:
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Seniors Arts and Craft Summer
Programs
Come join us at the Elizabeth Park Pond House
From June 30, 2008 to August 14, 2008
Time:
Doll Making and Quilting Classes
Please call Ula Dobson at
543-8876 for further
Information.
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