2024 Waupun Park Program Registration 
Please complete this form for all participating children in your family and pay $10 participation fee per child for scheduled activities. This registration fee is for all programs and special events for the entire summer. An additional $10 fee is required for each field trip. All Park Program registration fees must be paid online with a credit card (small fee is charged) a link is at the end of this registration.
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2024 Park Program Guidelines
Child's #1 First & Last Name: *
Child #1 Age:
(If enrolling a second child.) Child #2 First & Last Name:
Child #2 Age:
Child/Children Primary Home Address: *
Child/Children Parent/Guardian Email Address:  *
Parent/Guardian Name:
I hereby certify that I am the parent or legal guardian of the above child/children and that I approve of his/her participation in this City of Waupun activity. I hereby release the City of Waupun and/or their agents from any/all claims arising from his/her participation in these activities. I have read the 2024 Park Program guidelines. By typing your name below you are consenting to the above statements. 
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Parent/Guardian Phone Number:
Emergency Contact Phone Number: *
Any concerns about your child/children we should be aware of? *
Will your child/children be attending the field trip to Beaver Dam Lake on June 21, 2024? (Additional $10 fee per child will be collected during registration payment.) *
Will your child/children be attending the field trip to Shalom Wildlife Zoo on July 12, 2024? (Additional $10 fee per child will be collected during registration payment.)
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PHOTO RELEASE 
The City of Waupun may publish images of the programs the City offers, including participants, on social media and other publications. Other persons or entities may view, access, and use these images. For parents or guardians of minors, if you consent to the disclosure of your minor's image and likeness on City of Waupun social media, then please choose your selection below.
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