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Parks & Rec Fall ProgramsSCHOOL'S OUT PARTY! RAHN PARK Kids, spend your day off from school having fun at Rahn Park. A day of activities such as games and crafts is being planned for all kids ages 5 -12, from 10:00 a.m. - 3:00 p.m. at the Rahn Park building. The highlight of the day will be a pizza and ice cream party! Pre- registration is required. DATE: Friday, October 21, 1988 TIME: 10:00 a.m. - LOCATION: Rahn Park Building FEE: $5.00 per person (includes super- vision, pizza, beverage, ice cream and all activities) REGISTRATION DEADLINE: Friday, October 14, 1988 The City of Eagan is com- mitted to the policy that all persons shall have equal access to its programs, facilties and employment without regard to race, color, creed, religion, national origin, sex, disability, age, marital status or status with regard to public assistance. PARKS AND RECREATION FALL PROGRAMS "DISCOVER US!" HALLOWEEN SPOOK TRAIL Yowls, howls, screams and haunt- ing adventure are in store for those who dare to venture the Halloween Spook Trail at Woodhaven Park on Halloween night. Spooks, spiders, witches and goblins will startle those who attempt to make their way through the wooded trail. Come out and enjoy a haunting ex- perience that will chill and thrill! A Halloween treat will be the reward for making it to the trails end! The trail is open to all ages with no fee or registration required. The trail begins near the tennis courts and parking lot at Woodhaven Park on Gold Trail, two blocks east of Beau D'Rue Drive. DATE: Monday, October 31, 1988 TIME: 6:00 - 8:00 p.m. LOCATION: Woodhaven Park *Volunteers are needed to staff the spook trail. If you or your organization are interested in helping please contact the Eagan Parks and Recreation Depart- ment at 454 -8100. 9 ij HALLOWEEN PARTY AGES 2 TO 6 Witches, goblins, ghosts and children ages 2 -6 are invited to a Hal- loween Party. Come dressed in your favorite Hal- loween costume and enjoy an hour of entertainment, treats, and of course fun! A parade of costumes will con- clude this event. Parents are encouraged to share in the fun with their children. DATE: Saturday, October 29, 1988 TIME: 1:00 - 2:00 p.m. LOCATION: Woodland Elementary Gym (Wescott Rd. east of Lexington Ave.) DI US! 454 -8010 When does registration begin for fall programs? What time does the bus leave for my .`child's field trip? Does today's rain change any recrea- tion activities? Just. call 4 54 -8010, to reach the Recreatiion Happenings recorded message of pertinent program announcements iscover Us! Enjoy time with your toddler each week in this fun filled class for t w o year olds . Mom or Dad The child and adult Will experience a new class designed for the needs of the two L ear 'The class will include working on motor skill development;: balance, spatial awareness, coordination and flexibility through action songs, bouncing rhymes; finger plays and re A great way for parents to the other parents and for children to social ize through learning Pre - registration it required Child must be two years old by September 27, 1988. DATES Tuesdays, September 27 TIME 9 :30 a.n ` 10:15 a.m. LOCATION: Sky Hill Park (formerly Blue Cross/Blue Shield) 3590 Blue Cross Road FEE: Sl(t /pr .:_. REGISTRATION DEADLINE Friday, September 23,1988 November 15,1988 (8 weeks: FITNESS & FUN FOR THREE YEAR OLDS V Three year olds will experience stunts and tumbling, creative play, game ac- tivities, physical fitness and more activities designed especially for them. The class will include exposure to and practice with nerf balls, football skills, playground balls, soccer balls, parachute play and more. Each class works on a progressive level according to the participant's ability. Increasing the child's motor skills, improving coordination and FUN are the aspects of emphasis for the program. Children should dress in tennis shoes and clothes for active play. Class size is limited. Child must be three years old by September 27, 1988. Pre - registration is required. DATES: Tuesdays, September 27 - November 15 (8 weeks) TIME: Section I: 10:30 a.m. - 11:00 a.m. Section II: 11:15 a.m. - 11:45 a.m. LOCATION: Sky Hill Park, (formerly Blue CrossBlue Shield) 3590 Blue Cross Rd. FEE: $10.00 REGISTRATION DEADLINE: Friday, September 23, 1988 IMAGINE THAT! ...................... ............................... Discover the wonderful world of fun for three, four and five year olds in this new class designed especially for preschoolers: Each week, children Will have the opportunity to develop their self confidence, imagination and nude pendence.;: Activities such as forger plays, stories, songs, arts and crafts and puppets will entertain the children at each class Mother Goose, Dr Seuss, Dinosaurs and other friends will visit each week to create a world of fantasy for each child. Pre registration required • DATES Fridays, September 30 - Nov; : 18 (8 weeks) TIME Section I ;1015 a.m. 11:00 a m Section II: ' 1115 a.m. - Noon :?: LOCATION Goat Hill Park, 4391 Le:drtgtdn Avenue FEE $1000 REGISTRATION DEADLINE: Friday, September 23, 1988 10 NATIONAL YOUTH ,k SPORTS COACHING CLINICS Eagan Parks and Recreation staff offers coaching clinics for youth sport coaches. Clinics for baseball, softball, basketball, soccer, football and hockey have been conducted. Affiliated with the National Youth Sports Coaches Association, the clinics consist of a series of video tapes and informal discussion. Topics covered in- clude the psychology of coaching youth sports, maximizing performance and first aid. In addition, sport specific videos which cover skills tech- niques, organizing practice and tactics are shown. Coaches who complete the train- ing are certified by NYSCA, an or- ganization that sponsors training of youth coaches nationwide. DISCOVER US! ,✓ T- SHIRTS! So - you've always wanted a long sleeved cotton T- shirt! Your child may have a T -shirt with the City of Eagan Parks and Recreation logo! Why not for adults? Now - Available in adult sizes, in powder blue, white or gray ... long sleeved cotton T- shirts. They are beautifully embroidered with the Parks and Recreation logo and attractively accented with the department's slogan, Discover Us! The price is economically set at $10.00. As you register for a fall activity, why not check out this super bargain? BABY SITTING CLINIC The Eagan Women's Fire Auxilary and the Department of Parks and Recreation will co- sponsor a baby sitting clinic this fall. Boys and girls ages 10 and older are encouraged to par- ticipate. The clinic sessions will cover the basics of child care, first aid, safety concerns and the "how to ". of baby sitting. Class size is limited. Pre registration is re- quired. DATES: Thursday & Friday October 20 & 21, 1988 TIME: 1 :00 3 :00 P.M. LOCATION: Community Room, Fire Administration Building 3795 Pilot Knob Road FEE: S5.00 REGISTRATION DEADLINE: October 14, 1988 TINY TOTS RECREATIONAL ACTIVITIES The Tiny Tots program is designed to provide children ages 3,4, and 5 the op- portunity for social/recreational interaction and growth. Children are exposed to a variety of skills and learning experiences which include: crafts, storytelling, field trips, special events, listening and sharing skills, and singing. The emphasis is on large and small group play. Children should dress in play clothes for indoor and outdoor activities. A great way for your child to form new friendships and social- ize with other children. Pre- registrtion is required. Group size is limited to the first 20 registered in each section. DATES: September 26 - December 1, 1988 (10 weeks) (except November 24) TIMES AND LOCATIONS: RAHN PARK BUILDING, 442S Sandstone Drive: Section I: Mondays & Wednesdays, 10:00 a.m. - Noon Section II: Mondays & Wednesdays, 1:00 p.m. - 3:00 p.m. GOAT HILL PARK, 4391 Lexington Avenue: Section I: Tuesdays & Thursdays, 10:00 a.m. - Noon Section II: Tuesdays & Thursdays, 1:00 - 3:00 p.m. FEE: 550.00 REGISTRATION DEADLINE: Friday, September 23,1988 GAMES KIDS PLAY Four and five year olds will experience a program of activities designed espe- cially for them. Relays, circle games, physical fitness and game activities will be experienced. The class will include exposure to and practice with nerf and soccer balls, baseballs, softballs, footballs, playground balls, as well as parachute play. Warm up games will be played with an emphasis on basics such as dribbling, bouncing, throwing and catching. The activities will be in a progressive fashion according to the participant's ability. Bringing out non - competitive, positive play experiences and having fun are the aspects of emphasis for the program. Children should dress in tennis shoes and clothes for active play. Class size is limited. Child must be four or five years old by September 30, 1988. Pre - registration is required. DATES: Fridays, Sept. 30 - Nov. 18 (not Oct.21- change to Oct.19) (8 weeks) TIME: Section I: 5 yr. olds, 9:30 a.m. - 10:10 a.m. Section II: 4 yr. olds, 10:15 a.m. - 10:55 a.m. Section III: 4 yr. olds, 11:00 a.m. - 11:40 a.m. LOCATION: Fire Administration Building, Community Room 3795 Pilot Knob Road FEE: $10.00 REGISTRATION DEADLINE: Friday, September 23,1988 11 The Fagan Parks and Reoreation,;0epartment offers classes m d og obe enter tralnin .;>on Thursday evenings tlns fall bogs must be none (9). months +,1d or older to train `effectively The handler may tie an adult ar youth; twelve (12) years or older Bxmg to' the first class; 'The dog, certificat cif rabies vaccuiation, a ehoke chai and 6 leather leash P re- registration isrequired DATES eptember • 9 December 8;19 CLASS SECTIONS. A) FEE: $20.00 10 wee LO ATION• ComMunity Room, Fire Administration Build 3795 Pilot Knob Road REGISTRATION DEADLINE September 26,1988 Class size is:limited. RECREATIONAL CO -ED VOLLEYBALL Bump - Set - Spike! This league is for people who want to play volleyball without calls made by referees. The refs are you, the players, and you call your own illegal hits. To enjoy par- ticipating, you need not have ex- perience playing volleyball. It's a great way to have fun and meet new people. Games are played on Friday even- ings between 6:00 - 10:00 P.M. at High- land, Woodland and Deerwood Elementary schools. Play begins on September 23 and runs through November 18th (8 weeks). Fee is $35.00 per team. Registrations are accepted by teams only however, if you're an in- dividual interested in getting on a team, an available players list has been established. An organizational meeting will be held on September 15, 8:00 P.M. at the Eagan Municipal Center. Managers are asked to contact the Parks and Recreation Department by September 14 if interested in entering a team. OFFICIATED VOLLEYBALL LEAGUES MEN'S, WOMEN'S & CO-ED This "power" volleyball league will be offered for Men's, Women's and Co -Ed teams. Games are played on Thursday evenings between 6:00 - 10:00 p.m. at Rosemount Middle School. Play begins September 22 and ends on November 17 (8 weeks). Registrations are accepted by teams only however, if you're an in- dividual interested in getting on a team, an available players list has been established. An organizational meeting will be held on September 15 at 7:00 p.m. in the Eagan Municipal Center. Managers are asked to contact the Parks and Recreation Department by September 14 if interested in entering a team. Fees will be based on the number of teams registered. A $50.00 deposit is required upon registration. 12 STAR GAZING / V Wednesday, September 14, 1988 8:00 P.M. Enjoy a fall evening of star gazing with David Mandt, a member of the Minnesota Astronomical Society. You will see firsthand through a telescope, late summer and early fall constella- tions, the moon, nebulars, galaxies, star clusters and possibly a glimpse of Saturn and Jupiter. Slides of constella- tions, Saturn and Jupiter will also be shown. This special event will be held at Trapp Farm Park, 841 Wilderness Run Road. Participants are asked to arrive between 8:00 - 8:30 p.m. No fee is charged; however, please call or mail in your registration by September "13, 1988. SPECIAL NOTE: The event re- quires clear skies; in the event of a cloudy or rainy evening, star gazing can not be held. BLADE RACERS ICE 1 SKATING Join the South of the River Blade Racers! Learn how to skate faster and to improve your balance and coordina- tion - which can help you in other sports such as hockey and soccer. A beginning instructional program will be offered for boys and girls ages 5- 12. A one day clinic to introduce this sport will be held on Friday, December 2, 1988, from 6:00 P.M. to 7:15 P.M. at the Burnsville Indoor Ice Arena. Weekly coaching will be held beginning in December at the area out- door rinks. Beginning level blade racing meets will be held in the "South of The River Communities" of Apple Valley, Burnsville and Eagan. You don't need to have long bladed skates, just a regular pair of skates and some enthusiasm. DISCOVER BLADE RACING! MEN'S BASKETBALL V LEAGUES The Parks and Recreation Depart- ment directs men's basketball leagues during the winter. THREE MAN LEAGUE The 3 Man League plays on Wed- nesday evenings in elementary schools in the City. Managers of prospective teams should contact Parks & Recrea- tion at 454 -8100 by November 11, in order to receive notice of 'a manager's meeting. FIVE MAN LEAGUE Parks & Recreation directs men's basketball leagues which play on Wed- nesday and Thursday evenings at Rosemount Middle School. Games begin in December; however, managers of prospective new teams should contact Parks & Recreation at 454 -8100 by November 11, 1988, to be included in the planning process. ADULT BROOMBALL LEAGUES MEN'S BROOMBALL Eagan Men's Broomball Leagues play on Sunday and Monday evenings, beginning in late December. Managers of new men's teams are asked to call Parks and Recreation at 454-8100 by November 18 to receive the information required for entering a team into the league. CO BROOMBALL A Friday evening Co-Rec Broom - ball League is also offered. To join this league you need not be an ex- perienced player; you do need to enjoy the outdoors in winter and you should be prepared to laugh and have a good time. These three ingredients are the prerequisites for co-ed broomball. Managers of Co-Rec teams should call Parks and Recreation at 454-8100 by December 2,1988. dvisory Parks & •Recreation C • The A n a nd the Parks & Recrea tioa Department are in the proeesg of cstabIi hing a :paile.representative or ganiztition. T'o date, there i who have volunteered for :this "unofficial" :organization, This group of mdzviduals will serve as • liaisons between the Parks ;& ftec reation Department and the neighborhood parks Individuals who v�slunteer should be receptive to the ,neighborhood Park and community they represent Also, members should have an interest m the devetopment continuity.of the ent re park system The orgamza tion for the Most ar will rel o mforinal comn1.Wucation. > , t► Y The . parks stil m need o representatives are Cinnamon Ridge, • lEvergreen,: L iexington, River Hills, and Welt Site; Parks lror more ia titan; of to volunteer as a representative, call 454. 81 Follawmg is a list of parks with their respective representatives. These names are provided to hel fachhtate the ;l cession of c oncerns of tesidents to their appropriate neighborhood park representative, or you may contact an Advisory Commission ; member: • ;BLACKHAWK PARK . BRIDLE RIDGE PARK BUR OAKS PARK CARLSON LAKE PAR CARNELIAN PARK MI:M t POND PARK . COUNTRY HOME PAR: • FISH.` LAKE PARK.:::::::::.. ;GEORGE OHMAN N PAR GOAT HILL PARK HIGHVIEW PARK ;;KET7`LE PARK :: LAI ESIDI PARK : MEADOWLAND PARK OAR CHASE PARK:: O'LEARY. PARK PERIDOT PARK . : PILOT KNOB QUARRY PARK kAI4N PARK <RIDGECLI P Attt . SKY; HIL PA $LATER ACRES PAR :. - ,OLUNTEER.;:: John Epple . Robin kluin • Jean Schroeder Robert Sandeen Maureen Janke Linda Palmer .Steve Mexner Stella Lundquist Joe Miller John Uebel :Marie Benson Dale Ilossner Cindy Furrer .John Selinudt Phyllis Legman ;:: Rchard.:Ivleyer :. CherryI Mesko Sandra Meyer riff Mkbaeis Benita Soller Mark Ochs aul Reyes ary Paclr m lad Ah SOUTH OAKS PARK P !in Sherw TRAP' FARM PARK Cathy $artholet WALDEN HEIGHTS PARK Jackie Taylor WALNUT HILL PARK Deb Haupt WOODHAVEN PA1t Carlos i4lcKec <: TELEPHONE 452 -5290 454 -2951 452 -3352 454 =5784 688 =6267 452 =7803 688 -0477 452 -9300 681 -9009 452 = 8437 452 -2227 688-2984 454 -6103 454..0526 454.2960 688 -8114 454 -8100 452 -8963 452-1176 454- 3397 6819207 454 -3399 890=4616 . 894 -7543 4565673 4522096 454 -4153 452 -4910 454 -3630 WINTER RECREATION LEADERS Applications for Winter Recreation Leader positions will be accepted begin- ning October 3, 1988 at the Municipal Center. Recreation leaders are assigned to supervise the activities at skating rinks thoughout the City. Applicants should enjoy working with children, thrive on outdoor activity and be available to work after school and on weekends from approximately December 15, 1988 through February 15,1989. 13 TRIPS AND TOURS The outings listed on these two pages are co- sponsored by the Apple Valley, Eagan, Lakeville and Rosemount Parks & Recreation Departments. Registration may be made with any of the recreation departments. NOTE: No refunds will be issued after the registration deadline of an outing. Please specify the pick -up point you prefer when you register. ZUHRAH SHRINE CIRCUS Hey kids - the Shrine Circus is coming! Children of all ages will enjoy this traditional circus with clowns, elephants, high wire acts - -- plus much, much more! The two hour circus performance will be held at the Met Center starting at 1:30 p.m. School bus transportation will be provided. Make sure to bring extra money if you want to buy refreshments or souvenirs. This trip to the circus is a great way to spend the MEA break! Please note that children 8 years of age and younger must be accompanied by an adult. DATE: Thursday, October 20, 1988 TIMES & LOCATIONS: Lakeville (Enggren's) Rosemount Mall Apple Valley Community Center Eagan (Cedarvale Mall) FEE: $6.50 - Children 12 and under $9.00 - Teens and adults 13 and over REGISTRATION DEADLINE: Thursday, October 6, 1988, at 4:00 p.m. Registrations are limited - Sign up early! ALL ABOARD FOR STILLWATER This enjoyable day for adults will begin with a visit to the Stillwater Historical Museum. Next we'll board the Andiamo Showboat for a two hour cruise down the St. Croix River. While on board we'll enjoy a deli buffet. A stop at Aamodt's Apple Farm will allow you to select the season's best fall apples. DATE: Thursday, September 29, 1988 TIMES & LOCATIONS: Bus Leaves Returns Lakeville (Senior Center) 8:15 a.m. 4:15 p.m. Apple Valley Community Center 8:30 a.m. 4:00 p.m. Eagan (Cedarvale) 8:45 a.m. 3:45 p.m. Rosemount Mall 9:00 a.m. 3:30 p.m. FEE: $17.00 /person (includes school bus transportation, boat trip and lunch) REGISTRATION DEADLINE: Thursday, Sept. 22, 1988 Bus Leaves 11:45 a.m. 12:00 noon 12:15 p.m. 12:30 p.m. Returns 5:00 p.m. 4:45 p.m. 4 :30 p.m. 4:15 p.m. METRODOME TOUR - CIRCUS PIZZA Youth ages 10 -15 are invited to come on a trip to tour the Metrodome with your friends. You will see the inside of a press box, the Gopher locker room & a luxury suite. You will also get to go on the field and see what it looks like from the professional player's view. Then we'll be going to the new "Circus" in Burnsville for pizza and games. DATE: Friday, October 21, 1988 TIMES & LOCATIONS: Bus Leaves Lakeville (Enggren's) 10:00 a.m. Rosemount Mall 10:15 a.m. Apple Valley Community Center 10:30 a.m. Eagan (Cedarvale) 10:45 a.m. FEE: $8.50 per person includes tour of Metrodome, pizza, REGISTRATION DEADLINE: Tuesday, October 11, 1988 14 Returns 3:30 p.m. 3:15 p.m. 2:45 p.m. 3:00 p.m. pop & 3 game tokens. SESAME STREET LIVE The SESAME STREET LIVE SHOW is tentatively scheduled for Friday, December 2, 1988. Take your child or grandchild to see "Big Bird's Sesame Street Story" at the Met Center. Big Bird, Bert, Ernie, Grover, Cookie Monster and other Sesame Steet characters will sing and dance their way through a variety of upbeat numbers. They will entertain and involve their audience while explaining how Sesame Street came to be. Children aged 2 and older (with adult) are invited to attend. Parent may take a maximum of 3 children each. TIMES & LOCATION: Bus Leaves Returns Lakeville (Enggren's) 9:00 a.m.. 1:15 p.m. Apple Valley Community Center 9:15 a.m. 1:00 p.m. Rosemount Mall 9:30 a.m. 12:45 p.m. Eagan (Cedarvale) 9:45 a.m. 12:30 p.m. FEE: $10.50, includes lower deck reserved seating and transportation. REGISTRATION DEADLINE: Friday, November 11, 1988 ROLLERSKATING /PIZZA PARTY Come join us for an afternoon of pizza and rollerskating! We will start out at Chuck E. Cheese /Circus in Burnsville for lunch, followed by rollerskating at Skateville. Participants (Ages 5-16) should bring a homemade wish -bone to be eligible for special prizes at Skateville! Everyone who brings receive a 2 for 1 coupon to come back to Skateville another time. DATE: Friday, November 25, 1988 TIMES & LOCATIONS: Bus Leaves Lakeville (Enggren's) 10:15 a.m. Rosemount Mall 10:30 a.m. Apple Valley Community Center 10:45 a.m. Eagan (Cedarvale) 11:00 a.m. FEE: 89.00 per person (includes indiv. mini pizza, beverage, 4 ga rental, admission, transportation and supervision) REGISTRATION DEADLINE: Friday, November 18,1988 *Please note that children 8 years of age and younger accompanied by an adult. (or a real one) a wishbone will Returns 5:15 p.m. 5:00 p.m. 4:45 p.m. 4:30 p.m. me tokens, skate must be GUTHRIE THEATRE Beginning with its first performance in 1975, the Guthrie's "A Christmas Caro!" has become a tradition, an essential ingredient in the holiday spirit of countless Midwestern families. Ebenezer Scrooge and Jacob Marley, Bob Cratchit and Tiny Tim, all come to life on the Guthrie stage in the heartwarming story that has be- come as much a part of the holiday season as snowflakes, mistletoe, and greetings through the mail. Adults will enjoy this holiday trip. DATE: Thursday, December 15,1988 TIMES & LOCATIONS: Bus Leaves Returns Lakeville (Senior Center) 6:00 p.m. 11:15 p.m. Rosemount Mall 6:15 p.m. 11:00 p.m. Apple Valley Community Center 6:30 -p.m. 10:45 p.m. Eagan ( Cedarvale) 6:45 p.m. 10:30 p.m. FEE: 8L5.00 - includes bus transportation & reserved seat. REGISTRATION DEADLINE: Monday, November 14,1988 Registration limited - register early! EAGAN SENIOR CITIZENS Activities are planned for and by Eagan seniors each month. Meetings are regularly held on the second Wed- nesday and fourth Tuesday in the Com- munity Room of the Fire Administra- tion Building, 3795 Pilot Knob Road. Recent activities have included pot luck lunches, afternoons of bingo, lunch at the Old Country Buffet and the annual picnic. If you are an Eagan Senior and wish to be placed on the mailing list to receive the monthly program an- nouncements, please call the Eagan Department of Parks and Recreation at 454 -8100. r CITY OF EAGAN MAIL-IN REGISTRATION FORM Name Home Phone # Adress Street City Zip Bus.Phone# Name of Activity Session# Time Child's Birth Date Enclosed S To Cover Registration I, the undersigned, parent, guardian or participant, do hereby agree to allow the individual(s) named herein to participate in the above men- tioned activity (ies): and I further agree to indemnify and hold harmless from and against any, and all, liability for any injury which may be suf- fered by the aforementioned individual(s) arising out of, or in any way connected with, his/her participation in this activity. Parent or Participant Signature R ECREATION PROGRAM EGISTRAATI ail Registration Begins: bATR S aturday Sept. 17,19 TIME • 10:00 a m Noon LOCATION, Eagan Municipal Ctr 3830: Pilot Krick Road "In-person" registrations ave first priority. Registrations will continue to be accepted at the Municippal Center during regular office hours, Monday Friday 8:00 A.M. `.4 :30 P.M CONFIRMATION LETTERS Letters of confirmation are not sent You should attend an ac- tivity for which you register as scheduled unless you are notified otherwise REFUNt3- POLICY Registration fees for programs cancelled by Parks & Recreation • will be fully refunded. A $2.00 ser- vice :fee will ` be charged: for u� dtvtdual registration cancellations made prior to the` start of an ac - ;` tivity or its registration deadline. No refunds will . be made after registration deadlines or the start_ of an activity. : 1 r J L 16 Name Adress Parent or Participant Signature INFLUENZA IMMUNIZATION CLINIC The Dakota County Public Health Nursing Service and the Eagan Parks and Recreation Department have scheduled an influenza immunization clinic this fall. Persons with health problems are encouraged to consult with their physician prior to immunization. DATE: Tuesday, October 18, 1988 TIME: 1:00 - 2:30 P.M. LOCATION: Community Room, Fire Administration Building 3795 Pilot Knob Road FEE: $3.00 donation at the clinic CITY OF EAGAN MAIL -IN REGISTRATION FORM Home Phone # Street City Zip Bus.Phone# Name of Activity Session# Time Child's Birth Date Enclosed S To Cover Registration I, the undersigned, parent, guardian or participant, do hereby agree to allow the individual(s) named herein to participate in the above men- tioned activity (ies): and I further agree to indemnify and hold harmless from and against any, and all, liability for any injury which may be suf- fered by the aforementioned individual(s) arising out of, or in any way connected with, his/her participation in this activity. 1 J