YDAT Lock-in flyer 10.indd
Transcription
YDAT Lock-in flyer 10.indd
10TH ANNUAL YDAT Youth Doing Awesome Things Lock-in Through the Years sponsored by the Mayor’s Youth Leaders in Action Check-in begins @ 9:30 pm Friday Doors close @ 10 pm sharp! Be a part of this all-night event, and learn how smart decision-making can lead to a bright future! Register by March 19 at any Virginia Beach Recreation Center. Registration form on back. Membership cards not required. This year’s theme is “Through the Years” • Haunted Truth • Hard Luck Cafe • Exciting workshops • Guest speaker: Dr. Adolph Brown, Wellness international, LLC YDAT10 partners: Cinema Café Kempsville Family Skating Center Krispy Kreme Jungle Golf Pinboys Pepsi For details call 385-0428 (TTY: dial 711) VBgov.com/parks • fun@VBgov.com Virginia Beach Parks and Recreation is accredited by CAPRA, the certifying agency of the National Recreation and Park Association. Plus fun activities! • Dodgeball, wallyball, video games & team-building activities • Swimming – bring your bathing suit and towel! • Sports equipment provided NO SLEEPiNG! Food & refreshments provided Music, prizes & giveaways! Open t o all 6 - 8 th g raders attendin in Virgin g schoo l ia Beac h Hampton Roads Squadron Naval Aviation Memorial YOUTH OPPORTUNITIES OFFICE March 26 & 27 • 9:30 pm - 7 am • Kempsville Recreation Center • $5 10th annual YDAT Registration Form Lock-in for Middle School Students Location Class #94874 Friday, March 26 – Saturday, March 27 9:30 pm - 7 am Register by Friday, March 19 Kempsville Recreation Center 800 Monmouth Lane, 23464 474-8492 Participants are randomly placed in groups. All group placements are final. Limit is 140. No sleeping equipment needed • Sports equipment provided Submit this form with $5 payment at any Virginia Beach Community Recreation Center. Participant’s Information Name D.O.B. Address Home Phone Emergency Contact School Grade Phone Parent/Guardian Information Name of Parent/Guardian Picking Up Participant Address (If different than above) Home Phone Cell Phone Medical Information List Participant’s Medical Problems Known Allergies List Any Special Accommodations, Activity Considerations Participant’s Physician Phone I am aware of the possibility of accidental or other physical injury, which may befall my child, during the use of equipment and/or participation in programs conducted. I do hereby assume the risk of possible accidental physical injuries that my child may suffer while utilizing the City of Virginia Beach facilities and/or programs, and release from any and all liabilities or cause of action the City of Virginia Beach, its employees and volunteers. This release shall be null and void for injuries resulting from sole gross negligence of the City of Virginia Beach, its employees or volunteers. I hereby provide my consent for the Department of Parks and Recreation to use photographs and/or interviews with me and/or my child(ren) in connection with publicizing or promoting the City of Virginia Beach, its services, or departments and agencies. I understand that there is to be no remuneration for this use or reproduction of said photographs. Participant’s Signature Date Parent/Guardian’s Signature Date