Clinton Parks & Recreation 201 Killingworth Turnpike (Route 81), Clinton, CT 06413, 860-669-6901 May 23, 2015 Saturday 2:00 – 4:00 PM Ages 6 & Older Fee $20. Non-Res Fee $30. Parks & Rec. Building Celebrate the month of May with special American Girl activities. Learn about “May Poles” and traditional spring games and crafts. Time for a tea party with china cups and tea cakes too! Claudia Mathison, Instructor Claudia has a graduate degree in Art Education. She teaches programs at the Guilford Art Center, The Country School in Madison and at libraries, museums and community organizations throughout Connecticut. Please return registration to the Park & Rec. Office along with payment (Cash or Check – No Credit Cards) NAME ________________ ___________________________________________________AGE________GRADE________ ADDRESS: ______________________________________ ______________BEST PHONE #:_________________________ PARENT’S NAME___________________________________________EMAIL:____________________________________ ALERGIES/MEDICAL CONDITIONS_______________________________________________________________________ EMERGENCY CONTACT: _________________________________________BEST PHONE#:_________________________ I give permission for my child to participate in this program. I understand that the Recreation Department, the Town of Clinton, and any other agency/person will not be responsible for any injuries as a result of participating in this program. I understand that I must carry my own accident and liability insurance for my child. I am familiar with the inherent risks of this program. PARENT/GUARDIAN SIGNATURE: __________________________________________ DATE:_______________ Payment Amount____________ Check or Cash #____________Date Rec’d____________ May 23, 2015