Parks & Recreation
The Bernardston Recreation Department conducts events and programs throughout the year.
This is where you can find out about current events and programs organized and supervised
by the department. Continue reading below for specific programs, events and dates.
38 Church St.
PO Box 504
Bernardston MA 01337
2016-2017 Bernardston Recreation
VOLUNTEERS NEEDED! See Other Side
Coaches will call/email you for 1st practice . Register up to 3children, same family, on this form.
Fees: Grades 1 &2: $35; Grades 3 through 6: $45
**For Each Tee Shirt, Check √ Adult or Youth space & Write in Sml, Med, Lg or XL size below**
Cell Phone_______________ Work _________________e-mail_____________________________
Emergency Contact (Other than above)_________________________________________________
Phone_________________________ Relationship to Child_________________________________
To VOLUNTEER, Please fill in info on OTHER SIDE
Parent/Legal Guardian MUST Complete all information and sign below:
List allergies or any existing medical conditions that would affect his/her participation __________________________
Initial below if you DO NOT give permission for your child(ren) to be photographed in this program for possible use in helping to promote our program or for press release: _________.
Waiver of Liability: I/We the undersigned parent/guardian, give my/our permission for my/our child to participate in any and all activities included in the Bernardston Recreational programs. I/We understand that not all coaches and recreational staff may be certified in CPR and First Aid and also may not have formal training in teaching and/or coaching method. I/We consent that in the event of an emergency, and in my/our absence, my/our injured child will be transported to the emergency room at Franklin Medical Center, or other medical facility as determined by emergency personnel, and consent to any and all medical treatment deemed advisable by the hospital staff. I/We understand and agree that the towns of Bernardston and Leyden, P.V.R.S., Bernardston Elem. School, and their assigns, agents, employees, and any designated coach/instructor for this program will not be liable to me or my/our child for any claims, actions, suits or harm that may arise out of, or in any way related to, my/our child’s participation in this recreational activity:
Parent/Guardian Signature: ______________________________Date______/______/______
OFFICE USE ONLY below this line: NOTE:
Amount Paid: $____________ Cash_____ Check #__________ Rec’d. By______ Date: ___/___ / 16
SIGN UP Thursdays Nov. 10 or Nov. 17, 6:00 to 7:00 pm at the
TOWN HALL (or Mail or drop at Town Hall ) 38 Church Street.
All registrations must be received by NOV 19.
Grades 1-2 Instructional: Learn & develop skills, basics of the game and player positions.
Grades 3 & 4: Junior Division in Tri State Youth Recreation League
Grades 5 & 6: Senior Division in Tri State Youth Recreation League
Practices are set once coaches are in place; generally, Gr. 3-6 practice on weeknights, Gr. 1-2 Sat. afternoon, at the Elementary School. Jr.& Sr. Division Teams play in Youth Recreation League in several area towns. Parents are responsible for transporting their own children (car pooling suggested).
IMPORTANT! (1) No Coach, other Volunteer, Commissioner or Staff may transport any except their own child(ren) to or from any practice or game. Please make arrangements in advance. (2) A child may Not Play or Practice until s/he is officially registered for the program. (3)Sneakers only on gym floors- no street shoes/boots: change shoes in hall. (4) More information will be provided when coaches meet with parents and players at their first practice. Every child should have a parent in attendance.
Phone 648-5416,(limited office hours). If you leave a message, we will try to get back to you as soon as possible..
Mail to Recreation / PO Box 504 / Bernardston, MA. 01337, or leave at Town Hall
Monday through Thursday. Volunteers must be CORI checked (except current volunteers
whose volunteering has not lapsed). Please ask for a form.
Volunteer’s Name(s) ______________________________________________________
I would like to (please fill in grade): Coach Grades ______ Assist Coach Grades ____ Email: ________________________________ Phone________________________
If Past Volunteer for Rec, When_________________ Activity___________________________
Do you hold current CPR, First Aid, Coach Certification or Other (not mandatory)_________ Other information? _____________________________________________________________