b'PARKS & RECREATION DEPARTMENT 260.925.2997 phone | 260.925.8267 fax |1500 Cedar St., Auburn, IN 46706 | parks@ci.auburn.in.us PROGRAM REGISTRATION FORMPROGRAM NAME: All Rieke Park Programs have a maximum class size of 25 participants, and a minimum of 10 participants. If we do not receive at least 10 registrations by DATE XX, 2018, the program will be canceled, and the parent/guardian on the registration will be notifiedFORMS of the change.PARTICIPANT INFORMATION NameAgeGradePrograms Attending (Please list all)Consistent and adequately branded forms help use create a seamless and connected government. Forms are brandedto reference the City and/or appropriate entity. Each forms design is simple, using a consistent font and appropriate spacing to simplify creation and establish a consistent PARENT/GUARDIAN CONTACTapproach to support future migration to a digital platform Name For an archive of all existing forms, see:Home AddressCity, StateZip Code https://linkscreativealliance.box.com/v/formsHome PhoneWork PhoneCell PhoneEmail EMERGENCY CONTACT CHECK BOX IF EMERGENCY CONTACT IS THE SAME AS ABOVENameRelationship Home AddressCity, StateZip CodeHome PhoneWork PhoneCell PhoneEmail Parent/Guardian SignatureDate Revised May 2018 Would you like to receive email updates on parks and rec. programs and events?YesNo www.ci.auburn.in.us 26CITY OF AUBURN BRAND GUIDELINES'