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Children's Recreation Registration - July 2018 through January 2019

  2. Parents of children who are eligible for the Montgomery County Board's Recreation Programs can use this online form to register. Just complete and submit the form below in its entirety, along with the consumer information data forms, and return them to: c/o Recreation Department, Northview School, 8114 N. Main St., Dayton, OH 45415. You will receive a confirmation letter for the event/activities you get to participate in, as well as an invoice for the activities. Please remember: All events are filled on a first-come, first served basis, so register early. You will be notified if you are closed out of any events/activities. An assessment may be needed for individuals who are new to the Recreation program.
  3. Instructions
    Please place a checkmark next to the events/activities that you/your individual wishes to attend. A check next to any of the ongoing events will indicate to us that you wish to be registered for the entire duration of that activity. Registration will be held in person at Northview on July 7, 2018 for families, and July 27, 2018, for residential agencies. All registrations are held from 10 a.m. to 2 p.m. Registration will be time stamped.
  4. This registration form acts as an application to the events listed. You will receive a packet in the mail, informing you of the activities for which you are confirmed. Abbreviations on the check-off list include: NV = Northview; L = Liberty Center; SV = Southview. Addresses can be found in the 2018 RECREATION AND YOU booklet.
  5. Northview Saturday Respites
  6. Northview Sunday Respites
  7. Liberty Saturday Respites
  8. Liberty Sunday Respites
  9. Holiday Respites
    You may only select 2 dates, not all 4. Please note locations.
  10. Wednesday Respite Program - Northview
    Note: You may only select Northview or Liberty, but not both.
  11. Wednesday Respite Program - Liberty
    Note: You may only select Liberty or Northview Wednesday respites, but not both.
  12. Special Events
  13. Classes & Clubs
  14. Youth Activities (Ages 6-9 Only)
  15. Teen Scene (Ages 13-17 only)
  16. Youth Field Trips (Ages 10-17 only)
  17. Kids Night Out - Overnight (Ages 13-17 only)
  18. Leave This Blank:

  19. This field is not part of the form submission.