Village of Lewiston Recreation - Weekly Fall Themed Craft- September 29th (6-7pm) Ages 5 and up
Village of Lewiston Recreation
Address: 145 N. 4th Street, Lewiston, NY 14092
Contact us at (716) 754-1990 or recreation@villageoflewiston.com

Classes will take place in front of the Red Brick Gym by 4th Street, in cases of bad weather, craft classes will be moved inside the gymnasium with ample spacing between participants.  If the class is moved inside, all participants will be required to ware face coverings.

This class is limited to the first ten registrations.

Release of Liability:
In consideration of permitting the below-named child to participate in games, practices, and other activities of the Village of Lewiston Recreation Department, I, the undersigned as parent or guardian of said minor, do hereby release and agree to hold harmless the Village of Lewiston Recreation Department and its said agents, employees, coaches and volunteers from any liability for bodily injury, personal injury or property damage which may occur to said minor on the part of said program or its agents, employees, coaches and volunteers related to this program.

Village of Lewiston Recreation Department
COVID-19 Screening Questionnaire

The following is a current list of COVID-19 symptoms that have been identified by the Center for Disease Control and Prevention (CDC):

Fever or chills
Cough
Shortness of breath or difficulty breathing
Fatigue
Muscle or body aches
Headache
New loss of taste or smell
Sore Throat
Congestion or runny nose
Nausea or vomiting
Diarrhea

If your answer is “YES” to any of the COVID questions below, please do not enter the Recreation Facility.
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Has anyone that will be in attendance with your group experienced any COVID-19 related symptoms (Listed Above) in the past 48 hours? *
Within the past 14 days, has anyone that will be in attendance with your group been in close physical contact (6 feet or closer for at least 15 minutes) with a person who is known to have laboratory-confirmed COVID-19 or with anyone who has any symptoms consistent with COVID-19? *
Is anyone in attendance with your group currently isolating or quarantining because they may have been exposed to a person with COVID-19 or are worried that they may be sick with COVID-19? *
Is anyone in attendance with your group currently waiting on the results of a COVID-19 test? *
Parent's Full Name *
Full Names of Children and Adults who will be present *
Home Address
Phone Number *
Email *
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