Rice Recreation Department
ricerec@ricemn.us
Registration Form Rice Recreation Summer Ball Program 2024
Rice Recreation Soccer Registration 2024
Rice Recreation Dance Program 2024
Rice Recreation Volleyball Registration 2024 TO COME
Rice Recreation Volleyball Program – Rice Elementar Gym
Rice Rec Phone: 320-493-5367 Gene Thomsen, Rice Recreation Director www.ricemn.us/recreation.
3rd – 5th Graders
October 7th, 14th, 21st, 28th, 2024 6 to 7 PM
$25.00 per student
Registrations will not be accepted by phone.
Rice Recreation: Statement of Release: I agree to release Rice Recreation and its employees of all liability related to accidents or injuries which might occur while participating in this activity. I also give my permission for emergency medical procedures to be administered if I cannot be contacted in the event of an emergency. I also understand that Rice Recreation Staff or their representatives may photograph participants enrolled in programs or events.
If discipline problems occur, students may be dropped from the activity. Parent/Guardian Signature: ___________________________________________
Make Checks Payable to: Rice Recreation. Pre-registration is mandatory. Contact City Hall to pay by Credit Card
Forms are available at: • Rice City Hall• Online at www.ricemn.us click on “Recreation.”
Registration will NOT be accepted by phone. Mail registration forms to: Rice Recreation
PO Box 179, Rice MN 56367
2024 Registration Form
Child’s Name _____________________ Grade _______ Parent/Guardian Name ________________
Township _________________________
Address __________________________________________________________
Home Phone __________________________________
Work Phone ________________________Cell Phone __________________________ Email ______________________________ Emergency Contact: _________________
Phone: _____________________________
Medical Information the coach should know: ___________________________________________
Shirt Size (circle one) S M L XL
Adult (if Volunteering) S M L XL XXL
Are you or a family member interested in coaching? Yes/No please contact prior to first practice.
Mail Registrations to: Rice Recreation, PO Box 179 Rice, MN 56367