Rice Recreation Department
Registration Form Rice Recreation Summer Ball Program 2021
Rice Recreation Volleyball Program
- Rice Rec Phone: 320-493-5367 Gene Thomsen, Rice Recreation Director ricemn.us/recreation.
- Rice Recreation Volleyball Program 2021 Will be run October 7th, 11th, 14th and 18th
- Program participation is determined grade currently attending
- Rice Elementary School – 6:00pm – 7:15pm
Grades 3 – 5 This program will be focus on having fun and learning the fundamentals as well as teamwork.
Cost – $20.00
Coach Meghan Weibe
The Rice Recreation Department is funded through the City of Rice. For more information, please call the City of Rice at 320-393-2280. Registration Information Forms are available at Rice City Hall, and online at www.ricemn.us/recreation.
*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.
Due to MDH and CDC guidelines there will be a waiver form for parents to sign.
If discipline problems occur, students may be dropped from the activity. Parent/Guardian Signature: ___________________________________________
Make Checks Payable to: Rice Recreation. Pre-registration is mandatory.
Register by August 9th, 2021.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
Recreation Volleyball 2021 Registration Form
Child’s Name _____________________ Grade (21/22) _______Age ____________ Parent/Guardian Name ________________ Township _________________________
Home Phone __________________________________
Work Phone ________________________Cell Phone __________________________ Email ______________________________ Emergency Contact: _________________
Medical Information the coach should know: ___________________________________________
Participant t-shirts will be youth sized
T-Shirt Size S __ M __ L __ XL __
Are you or a family member interested in coaching? Yes/No please contact prior to first practice.
Volunteer/Coach T-Shirt (Adult) Size – S___ M___ L___ XL___ XXL___
Mail Registrations to: Rice Recreation, PO Box 179 Rice, MN 56367
Registration Online Form