'Cupcake Café' - Decorate Your Own Cupcakes

Village Of Hastings On Hudson Recreation Department Presents

                                           "CUPCAKE CAFÉ"

This new program for 5^th – 8^th graders will give kids the opportunity to decorate cupcakes that resemble animals, food and other fun designs. Children will combine store bought candy and edible decorations and turn ordinary cupcakes into creative treats.

Thursdays October 21, 28 November 4, 18 3:00 – 4:30pm

James Harmon Community Center Fee: $50.00

Cupcake Café

Name: ________________________________          Grade: _________

Parent(s) Name: ________________             Cell #: _____________   Work #: ______________

Address: ______________________________ Phone #: ______________

Email: _________________________________

Emergency Pick-Up:              (Must be someone other than a parent)

Name: ________________________          Phone #: ___________________

IN CONSIDERATION OF ACCEPTING THIS REGISTRATION FORM, I, THE UNDERSIGNED, FOR MYSELF, MY EXECUTORS, ADMINISTRATORS AND ASSIGNEES, DO HEREBY DISCHARGE HASTINGS RECREATION DEPARTMENT, AND ANY AND ALL SPONSORS, ORGANIZERS AND THEIR REPRESENTATIVES AND SUCCESSORS FROM ALL CLAIMS OF DAMAGES, DEMANDS, ACTIONS AND CAUSES OF ACTION WHATSOEVER, IN ANY MANNER ARISING OR GROWING OUT OF MY PARTICIPATION IN SAID PROGRAM.  I FURTHER ATTEST THAT MY CHILD IS PHYSICALLY QUALIFIED TO PARTICIPATE IN THE PROGRAM.

Signature: _______________________________________              Date: ____________