City of Sundance, Wyoming

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2023 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 29 (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 29. (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

Soccer 1: (K-3rd) Wed., June 7 - July 5 (1:00pm - 2:00pm) HS Field. (no class June 29)

Soccer 2: (4th-7th) Wed., June 7 - July 5 (2:00pm - 3:00pm) HS Field. (no class June 29)

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 5 - July 10 (1:00pm - 2:00pm) Central Gym. (No Volleyball on July 3rd)

Volleyball 2: (3rd-5th) Mon., June 5 - July 10 (2:00pm - 3:00pm) Central Gym. (No Volleyball on July 3rd)

Volleyball 3: (6th-9th) Mon., June 5 - July 10 (3:00pm - 4:00pm) Central Gym. (No Volleyball on July 3rd)

T-Ball:

$25.00

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:

$25.00

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:

$25.00

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:

$10.00

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:

$10.00

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:

$10.00

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:

$10.00

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:

$10.00

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:

$10.00

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:

$10.00

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:

$10.00

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]

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:	E-Check
Update Name from Above

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Institution:

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Billing Street Address:
Billing ZIP/Postal Code:

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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.

Your statement will describe your payment as 'CBT*SUNDANCE CITY'

and the service fee transaction as 'CBT*SVC FEE SUNDANCE'.

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