Registration for Parks Field Day First Name * Last Name * Email * Town/Organization * Phone * Address * City * State * Zip * Attendee 1 * Attendee 1 Cell# Attendee 1 Email Attendee 2 Attendee 2 Cell# Attendee 2 Email Attendee 3 Attendee 3 Cell# Attendee 3 Email Attendee 4 Attendee 4 Cell# Attendee 4 Email Attendee 5 Attendee 5 Cell# Attendee 5 Email Attendee 6 Attendee 6 Cell# Attendee 6 Email Attendee 7 Attendee 7 Cell# Attendee 7 Email Attendee 8 Attendee 8 Cell# Attendee 8 Email Attendee 9 Attendee 9 Cell# Attendee 9 Email Attendee 10 *if more than 10 attendees, submit additional forms Attendee 10 Cell# Attendee 10 Email Payment Method * Send Invoice Credit Card (CRPA will email an invoice that is payable online) By selecting "Yes" below, I agree: 1.to pay $13.00 per person registered above 2.No refunds will be issued for cancellations made after July 22, 2024. Cancellations must be received in writing via email to [email protected] or [email protected]. Should CRPA cancel the event or the event be canceled due to a government shutdown (force majeure) your choice of either a refund or a credit for the 2025 event will be issued. Please note, all refunds will be issued via check, regardless of initial method of payment. 3.CRPA, Inc. and The town of Newtown and their employees and volunteers will not be responsible for any injury, illness, exposure to illness, loss, or damage that may occur to the attendee - nor to the attendee’s employees - from any cause whatsoever, prior, during, or subsequent to the period outlined on this registration. The attendee, on submitting this registration to CRPA, expressly releases and agrees to hold harmless the above-mentioned CRPA, Inc. and The town of Newtown and their employees and volunteers from any and all claims for such loss, damage, injury, illness, or exposure to illness. Attendee(s) are personally responsible for observing health and safety guidelines and/or laws outlined by the federal, state, and local authorities including but not limited to: wearing face coverings, maintaining social distance, and/or sanitization standards. * Yes No Are you human? Protected Form
