Does your child suffer from any disorder or medical condition that may impede or interfere with his/her ability to participate in any physical activity, including swimming safely?
Does your child have any seizure disorder?
Has your child experienced seizures in the past?
Is your child presently under the care of a physician for any disorder or medical condition of which the City should be aware to ensure his/her safe participation in physical activities?
Does your child take any medications or have any other special needs (including allergies)?
March 28 & 30 spring break (for students) No YOUTH programming
Youth ApplicationAges 9-21 years old *Please select all programs you are interested in registering for*
Tennis Skills & Activities
SCAC-Arts & Crafts
Adult Morning ApplicationBuddy Program ApplicationAdult Morning Program- Ages 22 and up *Please select all programs you are interested in registering for*
Various Exercises, Tennis Skills, Flagged Football Skills, Arts & Crafts, Bingo & Line Dancing Skills
Adult Afternoon Application Adult After Work Program- Ages 22 and up *Please select all programs you are interested in registering for*
Mat/Chair Yoga, Creative Arts & Bingo
(Swimming practice will be from 5:30-7 pm. all swimmers need to be dropped off by 5:15 and picked up by 6:45 pm at the Chatham County Aquatic Center on Sallie Mood Dr.)
Tennis Skills, Flagged Football & Swimming
(All participants need to be dropped off at the tennis courts at Daffin Park by 3:35 pm and picked up by 5:45 pm. If there is inclement weather, we will be at the Tompkins Recreation Center)
I, as the above primary applicant and as the legal guardian of minor child(ren) list for whom I seek Recreation and Leisure Services membership, hereby knowingly, voluntarily agree, and understand, as part of myself and/or family members listed, incidents may occur and inherent risks may be exposed, including the risk of serious physical injuries (included but not limited to disability and death, as well as economic and property loss). I further realize and understand that participating in this membership may involve risks and dangers, both known and unknown; therefore, I have elected to allow myself and/or family members listed to participate in these services and activities.
Recreation and Leisure Services will always promote the opportunity for the member to utilize its computer for purposes, offer access to exercise equipment and other technological equipment to extend educational, fitness, and career goals to members; Recreation and Leisure Services will not be responsible for any information that is lost or property that is damaged or stolen. Recreation and Leisure Services do not control the content of information available on the internet. Therefore, parents should be advised that youth members will have access to worldwide information and may encounter inaccurate, offensive, or otherwise objectionable material. Members are not permitted to use the internet, center computers, equipment, supplies, or other objects to cause harm to themselves or others. Damages to Recreation and Leisure Services property due to misuse/mishandling shall be the responsibility of the member and/or primary member/guardian. Recreation and Leisure services reserve the right to monitor any and all use of equipment, including internet access.
I, as the above primary applicant and as the legal guardian of the minor child(ren), grant permission to Recreation and Leisure Services and/or representatives the right to use, edit, reproduce, assign, and modify and distribute photographs, film, video/audio recordings and any other audio/visual productions for the use in public displays, publications, public relations, slide shows, newspaper, advertising, and any other communications for the purpose of visual sharing. I insure and hold harmless the City of Savannah, Recreation and Leisure Services, its officers, employees, sponsors, and volunteers from and against any and all claims of any kind, which included all compensation and any liabilities arising from or related to the use of photographs and/or recordings and medial releases.
I authorize the City of Savannah to transport or otherwise provide transportation for myself/my child by public service bus, private automobile, vans, or other appropriate means of transportation in connection with the Therapeutics Recreation Program. I hereby release and hold harmless the City of Savannah, The Therapeutic Recreation Program, its agents, members, employees, and any individuals involved in the planning, organization, or presentation of Therapeutics Recreation events and activities, which involve transportation, for any accident, injury, illness or any damage whatsoever related to the participation mentioned above in any activity or session of the City of Savannah Therapeutic Recreation Program.
I/We understand COVID-19 is a highly contagious virus that spreads quickly through person-to-person contact. Participating in Recreation and Leisure Services programs and accessing City facilities could increase the risk of contracting COVID-19. The City in no way warrants that contracting COVID-19 or other contagions will not occur through participation and use of City programs/facilities.
In the event of an emergency resulting in medical treatment, I, the primary applicant and/or the legal guardian of the minor child(ren) for whom I request Recreation and Leisure Services membership, do hereby give permission and consent for medical attention to be administered to myself and/or al family members listed on the application as part of my membership agreement application, including but not limited to; utilization of ambulatory care, first aid, AED if available and any other equipment or treatment to assist in the emergency.
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