SIPlive: City of Sundance, Wyoming (L.?)

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2021 Sundance Summer Recreation

For more information, please see the attached flyer

Parent/Guardian Contact Information

First Name:	Last Name:
Address:
Address:
City:	State/Province:	ZIP/Postal Code:
Phone:
Email:

T-Ball: Ages: 4-5. June 1 - June 24 Tues/Thurs (1:00pm - 2:00pm) Practices at the HS Field and Games will be TBA at the Baseball Complex . (Must be 4 by May 31)

Coach Pitch T-Ball: Ages: 6-7 June 1 - June 24. (1:00pm - 2:00pm) Practices at the HS Field and Games will be TBA at the Baseball Complex. 7 year olds must play coach pitch unless minors are in need of players (COACHES NEEDED)

Minor or Major League Baseball: TBA $20.00

Soccer 1: (K-3rd) Wed., June 2 - July7 (1:00pm - 2:00pm) HS Field

Soccer 2: (4th-7th) Wed., June 2 - July7 (2:00pm - 3:00pm) HS Field

Basketball 1: (K-2nd) Tues/Thur., July 6 - July 20 (1:00pm - 2:00pm) Central Gym

Basketball 2: (3rd-5th) Tues/Thur., July 6 - July 20 (2:00pm - 3:00pm) Central Gym

Basketball 3: (6th-9th) Tues/Thur., July 6 - July 20 (3:00pm - 4:00pm) Central Gym

Volleyball 1: (K-2nd) Mon., June 7 - July 12 (1:00pm - 2:00pm) Central Gym

Volleyball 2: (3rd-5th) Mon., June 7 - July 12 (2:00pm - 3:00pm) Central Gym

Volleyball 3: (6th-9th) Mon., June 7 - July 12 (3:00pm - 4:00pm) Central Gym

*NO VOLLEYBALL CLASSES ON JUNE 28 DUE TO VB CAMP

Volleyball Camp is June 28, 29, 30 - Registration will be separate

Arts and Crafts: Children must have completed Kindergarten in order to attend. Enrollment is limited, 1st come 1st serve:

222 Canyon Road, Sundance, WY, June 28-30, July 1st and July 6-9, TIME: 9:00-10:15am or 10:30-11:45am

Register by Friday, June 3 or call 307-290-2304 with any questions.

T-Ball:

$15.00

Quantity:

Item Subtotal:

$0.00

Child's Name	[1]
Child's DOB (mm/dd/yyyy)	[1]
Child's Age		[1]
Child's Name	[2]
Child's DOB (mm/dd/yyyy)	[2]
Child's Age		[2]
Child's Name	[3]
Child's DOB (mm/dd/yyyy)	[3]
Child's Age		[3]
Child's Name	[4]
Child's DOB (mm/dd/yyyy)	[4]
Child's Age		[4]
Child's Name	[5]
Child's DOB (mm/dd/yyyy)	[5]
Child's Age		[5]
Child's Name	[6]
Child's DOB (mm/dd/yyyy)	[6]
Child's Age		[6]
Child's Name	[7]
Child's DOB (mm/dd/yyyy)	[7]
Child's Age		[7]
Child's Name	[8]
Child's DOB (mm/dd/yyyy)	[8]
Child's Age		[8]
Child's Name	[9]
Child's DOB (mm/dd/yyyy)	[9]
Child's Age		[9]
Child's Name	[10]
Child's DOB (mm/dd/yyyy)	[10]
Child's Age		[10]

Coach Pitch T-Ball:

$15.00

Quantity:

Item Subtotal:

$0.00

Child's Name	[1]
Child's DOB (mm/dd/yyyy)	[1]
Child's Age		[1]
Child's Name	[2]
Child's DOB (mm/dd/yyyy)	[2]
Child's Age		[2]
Child's Name	[3]
Child's DOB (mm/dd/yyyy)	[3]
Child's Age		[3]
Child's Name	[4]
Child's DOB (mm/dd/yyyy)	[4]
Child's Age		[4]
Child's Name	[5]
Child's DOB (mm/dd/yyyy)	[5]
Child's Age		[5]
Child's Name	[6]
Child's DOB (mm/dd/yyyy)	[6]
Child's Age		[6]
Child's Name	[7]
Child's DOB (mm/dd/yyyy)	[7]
Child's Age		[7]
Child's Name	[8]
Child's DOB (mm/dd/yyyy)	[8]
Child's Age		[8]
Child's Name	[9]
Child's DOB (mm/dd/yyyy)	[9]
Child's Age		[9]
Child's Name	[10]
Child's DOB (mm/dd/yyyy)	[10]
Child's Age		[10]

Minor or Major League Baseball:

$20.00

Quantity:

Item Subtotal:

$0.00

Child's Name	[1]
Child's DOB (mm/dd/yyyy)	[1]
Child's Name	[2]
Child's DOB (mm/dd/yyyy)	[2]
Child's Name	[3]
Child's DOB (mm/dd/yyyy)	[3]
Child's Name	[4]
Child's DOB (mm/dd/yyyy)	[4]
Child's Name	[5]
Child's DOB (mm/dd/yyyy)	[5]
Child's Name	[6]
Child's DOB (mm/dd/yyyy)	[6]
Child's Name	[7]
Child's DOB (mm/dd/yyyy)	[7]
Child's Name	[8]
Child's DOB (mm/dd/yyyy)	[8]
Child's Name	[9]
Child's DOB (mm/dd/yyyy)	[9]
Child's Name	[10]
Child's DOB (mm/dd/yyyy)	[10]

Soccer 1:

$7.50

Quantity:

Item Subtotal:

$0.00

Child's Name	[1]
Child's DOB (mm/dd/yyyy)	[1]
Child's Grade (next fall)		[1]
Child's Name	[2]
Child's DOB (mm/dd/yyyy)	[2]
Child's Grade (next fall)		[2]
Child's Name	[3]
Child's DOB (mm/dd/yyyy)	[3]
Child's Grade (next fall)		[3]
Child's Name	[4]
Child's DOB (mm/dd/yyyy)	[4]
Child's Grade (next fall)		[4]
Child's Name	[5]
Child's DOB (mm/dd/yyyy)	[5]
Child's Grade (next fall)		[5]
Child's Name	[6]
Child's DOB (mm/dd/yyyy)	[6]
Child's Grade (next fall)		[6]
Child's Name	[7]
Child's DOB (mm/dd/yyyy)	[7]
Child's Grade (next fall)		[7]
Child's Name	[8]
Child's DOB (mm/dd/yyyy)	[8]
Child's Grade (next fall)		[8]
Child's Name	[9]
Child's DOB (mm/dd/yyyy)	[9]
Child's Grade (next fall)		[9]
Child's Name	[10]
Child's DOB (mm/dd/yyyy)	[10]
Child's Grade (next fall)		[10]

Soccer 2:

$7.50

Quantity:

Item Subtotal:

$0.00

Child's Name	[1]
Child's DOB (mm/dd/yyyy)	[1]
Child's Grade (next fall)		[1]
Child's Name	[2]
Child's DOB (mm/dd/yyyy)	[2]
Child's Grade (next fall)		[2]
Child's Name	[3]
Child's DOB (mm/dd/yyyy)	[3]
Child's Grade (next fall)		[3]
Child's Name	[4]
Child's DOB (mm/dd/yyyy)	[4]
Child's Grade (next fall)		[4]
Child's Name	[5]
Child's DOB (mm/dd/yyyy)	[5]
Child's Grade (next fall)		[5]
Child's Name	[6]
Child's DOB (mm/dd/yyyy)	[6]
Child's Grade (next fall)		[6]
Child's Name	[7]
Child's DOB (mm/dd/yyyy)	[7]
Child's Grade (next fall)		[7]
Child's Name	[8]
Child's DOB (mm/dd/yyyy)	[8]
Child's Grade (next fall)		[8]
Child's Name	[9]
Child's DOB (mm/dd/yyyy)	[9]
Child's Grade (next fall)		[9]
Child's Name	[10]
Child's DOB (mm/dd/yyyy)	[10]
Child's Grade (next fall)		[10]

Basketball 1:

$7.50

Quantity:

Item Subtotal:

$0.00

Child's Name	[1]
Child's DOB (mm/dd/yyyy)	[1]
Child's Grade (next fall)		[1]
Child's Name	[2]
Child's DOB (mm/dd/yyyy)	[2]
Child's Grade (next fall)		[2]
Child's Name	[3]
Child's DOB (mm/dd/yyyy)	[3]
Child's Grade (next fall)		[3]
Child's Name	[4]
Child's DOB (mm/dd/yyyy)	[4]
Child's Grade (next fall)		[4]
Child's Name	[5]
Child's DOB (mm/dd/yyyy)	[5]
Child's Grade (next fall)		[5]
Child's Name	[6]
Child's DOB (mm/dd/yyyy)	[6]
Child's Grade (next fall)		[6]
Child's Name	[7]
Child's DOB (mm/dd/yyyy)	[7]
Child's Grade (next fall)		[7]
Child's Name	[8]
Child's DOB (mm/dd/yyyy)	[8]
Child's Grade (next fall)		[8]
Child's Name	[9]
Child's DOB (mm/dd/yyyy)	[9]
Child's Grade (next fall)		[9]
Child's Name	[10]
Child's DOB (mm/dd/yyyy)	[10]
Child's Grade (next fall)		[10]

Basketball 2:

$7.50

Quantity:

Item Subtotal:

$0.00

Child's Name	[1]
Child's DOB (mm/dd/yyyy)	[1]
Child's Grade (next fall)		[1]
Child's Name	[2]
Child's DOB (mm/dd/yyyy)	[2]
Child's Grade (next fall)		[2]
Child's Name	[3]
Child's DOB (mm/dd/yyyy)	[3]
Child's Grade (next fall)		[3]
Child's Name	[4]
Child's DOB (mm/dd/yyyy)	[4]
Child's Grade (next fall)		[4]
Child's Name	[5]
Child's DOB (mm/dd/yyyy)	[5]
Child's Grade (next fall)		[5]
Child's Name	[6]
Child's DOB (mm/dd/yyyy)	[6]
Child's Grade (next fall)		[6]
Child's Name	[7]
Child's DOB (mm/dd/yyyy)	[7]
Child's Grade (next fall)		[7]
Child's Name	[8]
Child's DOB (mm/dd/yyyy)	[8]
Child's Grade (next fall)		[8]
Child's Name	[9]
Child's DOB (mm/dd/yyyy)	[9]
Child's Grade (next fall)		[9]
Child's Name	[10]
Child's DOB (mm/dd/yyyy)	[10]
Child's Grade (next fall)		[10]

Basketball 3:

$7.50

Quantity:

Item Subtotal:

$0.00

Child's Name	[1]
Child's DOB (mm/dd/yyyy)	[1]
Child's Grade (next fall)		[1]
Child's Name	[2]
Child's DOB (mm/dd/yyyy)	[2]
Child's Grade (next fall)		[2]
Child's Name	[3]
Child's DOB (mm/dd/yyyy)	[3]
Child's Grade (next fall)		[3]
Child's Name	[4]
Child's DOB (mm/dd/yyyy)	[4]
Child's Grade (next fall)		[4]
Child's Name	[5]
Child's DOB (mm/dd/yyyy)	[5]
Child's Grade (next fall)		[5]
Child's Name	[6]
Child's DOB (mm/dd/yyyy)	[6]
Child's Grade (next fall)		[6]
Child's Name	[7]
Child's DOB (mm/dd/yyyy)	[7]
Child's Grade (next fall)		[7]
Child's Name	[8]
Child's DOB (mm/dd/yyyy)	[8]
Child's Grade (next fall)		[8]
Child's Name	[9]
Child's DOB (mm/dd/yyyy)	[9]
Child's Grade (next fall)		[9]
Child's Name	[10]
Child's DOB (mm/dd/yyyy)	[10]
Child's Grade (next fall)		[10]

Volleyball 1:

$7.50

Quantity:

Item Subtotal:

$0.00

Child's Name	[1]
Child's DOB (mm/dd/yyyy)	[1]
Child's Grade (next fall)		[1]
Child's Name	[2]
Child's DOB (mm/dd/yyyy)	[2]
Child's Grade (next fall)		[2]
Child's Name	[3]
Child's DOB (mm/dd/yyyy)	[3]
Child's Grade (next fall)		[3]
Child's Name	[4]
Child's DOB (mm/dd/yyyy)	[4]
Child's Grade (next fall)		[4]
Child's Name	[5]
Child's DOB (mm/dd/yyyy)	[5]
Child's Grade (next fall)		[5]
Child's Name	[6]
Child's DOB (mm/dd/yyyy)	[6]
Child's Grade (next fall)		[6]
Child's Name	[7]
Child's DOB (mm/dd/yyyy)	[7]
Child's Grade (next fall)		[7]
Child's Name	[8]
Child's DOB (mm/dd/yyyy)	[8]
Child's Grade (next fall)		[8]
Child's Name	[9]
Child's DOB (mm/dd/yyyy)	[9]
Child's Grade (next fall)		[9]
Child's Name	[10]
Child's DOB (mm/dd/yyyy)	[10]
Child's Grade (next fall)		[10]

Volleyball 2:

$7.50

Quantity:

Item Subtotal:

$0.00

Child's Name	[1]
Child's DOB (mm/dd/yyyy)	[1]
Child's Grade (next fall)		[1]
Child's Name	[2]
Child's DOB (mm/dd/yyyy)	[2]
Child's Grade (next fall)		[2]
Child's Name	[3]
Child's DOB (mm/dd/yyyy)	[3]
Child's Grade (next fall)		[3]
Child's Name	[4]
Child's DOB (mm/dd/yyyy)	[4]
Child's Grade (next fall)		[4]
Child's Name	[5]
Child's DOB (mm/dd/yyyy)	[5]
Child's Grade (next fall)		[5]
Child's Name	[6]
Child's DOB (mm/dd/yyyy)	[6]
Child's Grade (next fall)		[6]
Child's Name	[7]
Child's DOB (mm/dd/yyyy)	[7]
Child's Grade (next fall)		[7]
Child's Name	[8]
Child's DOB (mm/dd/yyyy)	[8]
Child's Grade (next fall)		[8]
Child's Name	[9]
Child's DOB (mm/dd/yyyy)	[9]
Child's Grade (next fall)		[9]
Child's Name	[10]
Child's DOB (mm/dd/yyyy)	[10]
Child's Grade (next fall)		[10]

Volleyball 3:

$7.50

Quantity:

Item Subtotal:

$0.00

Child's Name	[1]
Child's DOB (mm/dd/yyyy)	[1]
Child's Grade (next fall)		[1]
Child's Name	[2]
Child's DOB (mm/dd/yyyy)	[2]
Child's Grade (next fall)		[2]
Child's Name	[3]
Child's DOB (mm/dd/yyyy)	[3]
Child's Grade (next fall)		[3]
Child's Name	[4]
Child's DOB (mm/dd/yyyy)	[4]
Child's Grade (next fall)		[4]
Child's Name	[5]
Child's DOB (mm/dd/yyyy)	[5]
Child's Grade (next fall)		[5]
Child's Name	[6]
Child's DOB (mm/dd/yyyy)	[6]
Child's Grade (next fall)		[6]
Child's Name	[7]
Child's DOB (mm/dd/yyyy)	[7]
Child's Grade (next fall)		[7]
Child's Name	[8]
Child's DOB (mm/dd/yyyy)	[8]
Child's Grade (next fall)		[8]
Child's Name	[9]
Child's DOB (mm/dd/yyyy)	[9]
Child's Grade (next fall)		[9]
Child's Name	[10]
Child's DOB (mm/dd/yyyy)	[10]
Child's Grade (next fall)		[10]

Arts and Crafts:

$7.50

Quantity:

Item Subtotal:

$0.00

Child's Name	[1]
Child's DOB (mm/dd/yyyy)	[1]
Class Session		[1]
Child's Name	[2]
Child's DOB (mm/dd/yyyy)	[2]
Class Session		[2]
Child's Name	[3]
Child's DOB (mm/dd/yyyy)	[3]
Class Session		[3]
Child's Name	[4]
Child's DOB (mm/dd/yyyy)	[4]
Class Session		[4]
Child's Name	[5]
Child's DOB (mm/dd/yyyy)	[5]
Class Session		[5]
Child's Name	[6]
Child's DOB (mm/dd/yyyy)	[6]
Class Session		[6]
Child's Name	[7]
Child's DOB (mm/dd/yyyy)	[7]
Class Session		[7]
Child's Name	[8]
Child's DOB (mm/dd/yyyy)	[8]
Class Session		[8]
Child's Name	[9]
Child's DOB (mm/dd/yyyy)	[9]
Class Session		[9]
Child's Name	[10]
Child's DOB (mm/dd/yyyy)	[10]
Class Session		[10]

Total:

$0.00

Please indicate below if the child/children listed on this form have an illness or disability that may require special attention during participation in the Summer Recreation Programs.

Please describe the illness or disability, if any.

Payment Information:

Processing Fee Rates:
Cards:	3% plus $0.25 ($1.50 min) (1.5% surcharge for foreign cards)
eCheck:	$0.49

Method of Payment:
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I/We the parents/guardian of the above child/children, hereby give my/our approval to his/her participation in the Summer Recreation activities. I/We assume all risks and hazards incidental to such participation including transportation to and from all activities.

I/We have indicated above if our child has any illness or limited ability which may require special attention during his or her participation in the program.

I Agree

By clicking the box you acknowledge that you have read and agree to the statements above.

Please be aware that payments will reflect on your statement as

CityFee 800-764-0844 Clinton UT

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