Walworth, NY · Wayne County
Recreation Program Registration and Waiver
Adults register themselves and dependents for Town of Walworth recreation programs using this form, which also includes a participation acknowledgment, release, and hold harmless waiver.
What this form is
The Town of Walworth Recreation Department form registers adults and dependents for a recreation program and session, and includes a waiver for participation. The primary account holder provides contact and personal details, lists additional participants, and identifies the program, session, and fee. The adult, parent, or guardian signs and dates the acknowledgment and release; the form also asks for payment.
Who needs it
An adult registering themselves or dependents for a Town of Walworth recreation program should complete this form and sign the waiver.
How to submit it
Mail the completed form and payment to Walworth Recreation, 3600 Lorraine Drive, Walworth, NY 14568; make checks payable to Town of Walworth.
About notarization
This document is signed and dated without a notary; it contains no separate notarized or sworn attachment, so the adult, parent, or guardian just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Town of Walworth Recreation Program Registration and Waiver PDF.
- 2
Complete Registration Details
Enter the account holder and participant details, program name, session ID, and fee.
- 3
Sign And Date The Waiver
The adult, parent, or guardian signs and dates the acknowledgment, release, and hold harmless.
- 4
Include Payment And Mail
Include payment and mail the form to Walworth Recreation, 3600 Lorraine Drive, Walworth, NY 14568. Make checks payable to Town of Walworth.
Frequently asked questions
- Do I need a notary for the Walworth recreation registration form?
- No. This document is signed and dated without a notary, and it contains no separate notarized or sworn attachment.
- How do I submit the recreation program registration form?
- Mail the completed form and payment to Walworth Recreation, 3600 Lorraine Drive, Walworth, NY 14568. Make checks payable to Town of Walworth.
- Who can be included on this registration form?
- The form is for a primary adult account holder and additional account members, including adults and dependents.
- What information does the form request?
- It requests account holder contact and personal details, participant information, program and session details, and payment. An adult, parent, or guardian also signs and dates the waiver.
Need something notarized?
This Recreation Program Registration and Waiver doesn’t need a notary — but if you have another Walworth form that does, a commissioned online notary can help.