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Cancellation fees may apply for program withdrawal. Please see our policies on the Registration Information page.
Participant Information
Please enter first and last name.
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Contact Information
Please enter first and last name.
Please enter first and last name.
Emergency Contact
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Personal Information
Fall Adventure Trips 2021
(Dinner and outdoor live performance by Carole Alexis Co/Ballet de Ameriques & Via)
(Rope ladder course, ax throwing, laser tag, arcade games and dining with friends)
(Tibbetts Park adventures including mini golf and meal with friends)
(River fall foliage cruise, learn about the history of the Hudson Highlands, be on the lookout for eagles, walk into town and dinner with friends)
(METRO NORTH travel, guided tour, Kusama Garden and Gallery, Pine Tree Café, drop in Nature Exploration & NYBG gift shop)
(Dance Jams with Magical Memories Entertainment)
(METRO NORTH TRAVEL, live baseball game with friends, ticket includes lunch and a drink)
(Transportation provided, horseback jousts, choreographed sword fights, fire acrobats, medieval dances and more!)
(Pumpkin carving, no bake apple dessert, hike the North County Trail, and apple cider with friends)
(Barnyard, birds of prey, Native American Village, organic garden, native plant meadow, beehives, butterfly arbor, great lawn, live animal exhibits, volunteering, trails and more)
(Explore and tour the community of Yorktown, experience the Yorktown Street Festival and Yorktown Museum and dine with friends.)
(Transportation provided, Fright Fest, amusement rides, games and more!)
(Dinner with friends, marvel over the outdoor synchronized lights and artistry of hand carved pumpkins and savor over tasty fall treats)
(Halloween costume parade with views of the Headless Horseman Bridge, Sleepy Hollow Cemetery, the
Old Dutch Church and more!)
(Visit farm animals up close, learn about the 1900s, Farmers Market, art show, and more!)
(Party with DJ Slinger, line dancing, games, Halloween Trivia, crafts and more!)
*FREE if registered for in person Teen and Young Adult Programs
(Overnight cabin stay, boating, aquatic studies, camp fires, Halloween costume parades and more!)
FREE (Come party with Magical Memories Entertainment and celebrate All Hallows Eve with friends!)
*Special Guest: DJ Boochard!!
Program Enrollment
If choosing Link Up, it must be chosen as Selection #1
Please check all that apply.
Please select the program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
Please select number of days the participant will attend program each week. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
If choosing Link Up, it must be chosen as Selection #1
Please select all that apply.
Please select the program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
If choosing Link Up, it must be chosen as Selection #1
Please select all that apply.
Please select the program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
If choosing Link Up, it must be chosen as Selection #1
Please select all that apply.
Please select the program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
If choosing Link Up, it must be chosen as Selection #1
Please select all that apply.
Please select the program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
If choosing Link Up, it must be chosen as Selection #1
Please select all that apply.
Please select the program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
If choosing Link Up, it must be chosen as Selection #1
Please select all that apply.
Please select the program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
If choosing Link Up, it must be chosen as Selection #1
Please select all that apply.
Please select the program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
If choosing Link Up, it must be chosen as Selection #1
Please select all that apply.
Please select the program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
If choosing Link Up, it must be chosen as Selection #1
Please select all that apply.
Please select the program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
Participation Consent
The participant has permission to participate in the activities registered for on this form.
I consent to receiving emails and/or text messages about the participant listed on this form.
I consent to allowing the participant to be transported and treated at the nearest medical facility.
I consent to photographs or videos of the participant being used for educational or SPARC promotion.
Billing Information
Price:
$0.00
$0.00
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My signature is valid for ongoing enrollment in SPARC unless otherwise indicated.
By participating in SPARC programs, the parent/guardian of each participant and the participant agree to indemnify, release and hold harmless SPARC, its officers, directors, employees, consultants, agents (including independent contractors, if applicable), and volunteers from any and all liability or causes of action whatsoever arising out of, or which may result from such participation.
