City of Pickerington 2022 Fall Program Guide - Halloween Events Information on
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City of Pickerington 2022 Fall Program Guide Halloween Events Information on Page 8 Enchanted Princess Party Information on Page 8 Preschool/Youth Programs Information on Page 6
city directory 2022 Fall Program Guide Mayor Pickerington City Council CITY DIRECTORY Lee A. Gray Meetings: First and third Tuesday of the month, 7:30pm in City Hall Crystal Hicks, Council President City Manager Jaclyn Rohaly, Council Vice President Nick Derksen Greg Butcher Kevin Kemper Bob McCracken City Departments Tricia Sanders Brian Wisniewski Mayor’s Office 614-837-3974 City Manager’s Office 614-837-3974 Parks and Recreation Board City Clerk / City Council 614-837-3974 Meetings: Second Monday of the month, 6:30pm in City Hall City Hall 614-837-3974 Building Division 614-833-2221 Danny Dickerson Don Gesick Community Pool (Memorial Day-Labor Day Weekend) 614-864-3483 Jeff Harris Development Services Department 614-833-2204 Steve Malone Crystal Shepherd Engineering Department 614-833-2221 Benjamin White Finance Department 614-837-3974 Kevin Kemper, Council Representative Human Resources Department 614-837-3974 Income Tax Department 614-837-4116 Parks and Recreation Staff Parks and Recreation Department 614-833-2211 Rebecca Medinger, Parks and Recreation Director John Dennis Jr., Recreation Coordinator Police Department 614-575-6911 Kevin Ross, Service Foreman Service Department 614-833-2292 Bob Middendorf, Parks Maintenance Dan Bayes, Parks Maintenance Utilities Billing 614-833-2289 Tory Watson, Parks Maintenance FROM THE MAYOR Pickerington is already a beautiful place to live, but there’s just something special about the fall. The kids are back in schools, the air is crisp and the leaves are at their most vibrant. It’s the perfect time to get out and explore a walking trail or bike path or maybe even try a new class or program. The new season also brings some of our most popular City events, including Haunted Village, Tots Trick or Treat and the annual Enchanted Princess Party. Plans are also un derway for the Holiday Gathering and Tree Lighting City Hall located at 100 Lockville Road so be sure to mark your calendar for those dates. There’s always something to celebrate in Picker- ington and I hope you and your family can get out and make special memories over these next few months. Mayor Lee Gray Sycamore Creek Park at 481 Hereford Drive September • October • November 2 2
registration information Pickerington Parks and Recreation Department REGISTRATION OPTIONS REGISTRATION INFORMATION ONLINE IN PERSON BY MAIL Register for select Parks and Register in person from Send completed registration Recreation activities 24/7 8:00am-5:00pm Monday-Friday form and full payment to: with online registration at at the Parks and Recreation City of Pickerington www.pickerington.net Department located at City Hall, 100 Lockville Road or on your smart 100 Lockville Road across from Pickerington, OH 43147 phone by scanning Victory Park. the code. Registration is complete with full payment. DROP-BOX BY EMAIL Accepted methods of payment include: Cash, Checks made payable to Drop off your registration form Email a copy of the City of Pickerington, and VISA and and full payment after normal registration form found at MasterCard. operating hours in the secure www.pickerington.net to drop box located at City Hall recreation@pickerington.net City of Pickerington charges a $35 returned and your registration will be check fee. processed the next business day. Frequently Asked Questions City Resident Discount Fee 1. I would prefer not to register online, can I register over the In order to receive the City Resident Discount Fee, you must live within the phone? City limits of Pickerington. A complete Street Listing is available on the website. A household includes one set of parents or legal guardians and A: We cannot take registrations over the phone. If you prefer not to their children (26 years and under) residing in the same household. If more register online, you can send in a Registration Form and return to 100 than one family resides in the household, each family must setup their own Lockville Road. household. Babysitters, grandparents and extended family members are not 2. I have an online account with Pickerington for taxes or utilities. included in the same household. Even though you have a Pickerington mailing Do I use the same login to register for programs? address, or live within the Pickerington Local School District, you may not live within City Limits. A: Our systems are separate. You will need to create a new account through the Parks and Recreation online registration website. Cancellation Policy 3. I have a Pickerington address (or my child goes to Pickerington The Parks and Recreation Department reserves the right to cancel activities schools), but my street is not listed on the City of Pickerington based on low enrollment. Decisions to offer activities are based upon Street Listing. Do I still receive Resident pricing? pre-registration numbers and made 48-72 hours in advance of the start date. A: If your street is not listed, your address falls outside of Pickerington City Register early to help avoid a cancelled or closed out activity. If an activity limits even though you have a Pickerington mailing address. Many is cancelled or closed, you will receive a full refund in the form of a check; no addresses with Pickerington mailing addresses are in Violet Township cash or credit card refunds. Refunds take about 3 weeks to process. but are outside Pickerington City limits and not subject to Pickerington City income tax (Pickerington Local School District school district taxes are separate). Refund Policy Refunds will be made only before the start of an activity, pool season or facility 4. My street is listed on the City of Pickerington Street Listing, but I reservation for one of the following circumstances and a $15 processing fee will cannot select “Resident” when trying to register. How do I apply: ensure I am charged the City Resident Discount Fee? • When the activity or pool season pass refund is requested at least seven A: Your account has not been setup as a Resident. Please call 614-833- (7) days in advance (except where otherwise noted) of the first activity 2211 to have your account updated. The system will not allow you to meeting, provided it does not reduce the participation level below the select the appropriate fee on your own; it must be updated by the Parks required minimum. and Recreation Department staff. • When the facility reservation refund is requested prior to two (2) weeks from the scheduled date of use. 5. My account has been setup as a Resident previously, but the • When a refund request is completed and approved by the Parks and system is still showing Non-Resident pricing. Why? Recreation Department. A: This is most likely because you have added a new family member after • No refund will be given for activities under $15. your account was updated or created a duplicate account. Our system • No refund will be given for materials purchased. will default as a Non-Resident every time a new account is created - • No refund will be given after the start of an activity. even if the main member has already been updated to Resident pricing. Please contact the Parks and Recreation Department at 614-833-2211 to Please call 614-833-2211 to have your new family member’s residency updated. There is also a chance you have created a duplicate account. request a Refund Request Form. Refunds take about 3 weeks to process. If you created a new household account using a different/new email address, the system will not link to your previous account. Please call Photo Release 614-833-2211 to troubleshoot your account. By registering, participating or using any Parks and Recreation Department programs, activities, events or facilities you agree to allow publication of photos taken that are associated with the City of Pickerington. 100 Lockville Road, Pickerington, Ohio 43147 | (614) 833-2211 | www.pickerington.net 2 3
park map 2022 Fall Program Guide Park Rules Trails and Open Space PARK INFORMATION 1. Park open from dawn to dusk. Pickerington, Ohio 2. Damaging or removing park property, natural features and Hickory wildlife is prohibited. Turnberry ¬ « 256 Harmon Road Lakes 3. No littering or dumping. Turnberry Park Golf Course 4. Loud and disruptive behavior is Parkland Pickerington m n prohibited. Community Pool m n 5. Advertising or commercial âââ enterprise requires permission âââ â ââââââââââââ Refugee Rd from the City Manager. â m n âââââââââ Refugee Rd ! ( 6. No camping without a written m n Milnor Rd ( Portman ! permit from the City Manager. k Park PICKERINGTON 7. No fires except in designated areas. ¬ « Rd 256 Pickerington 8. Hunting and trapping is Diley Rd n to Youth Sports prohibited. i ng Lon gR er d Complex ck 9. Pets must be on a leash no Pi longer than 6 feet at all times and owners must pick up after k their pets. 10. No swimming, wading, or Bowen Rd Colony St Lo Park boating. ng er m n nt Rd 11. Catch and release fishing only. Ce N Wright Rd Willow W right Rd Pond Park m n Violet Twp Cemetery 12. No motorized vehicles except in designated areas. t W Columbus S ¬ «256 Shawnee 13. Alcoholic beverages are Pickerington n Victory m Park Crossing Park prohibited. Ponds Simsbury m n L oc k Park Violation of any park rule may Preston vill lead to ejection from the park or m n Sycamore e Winchester Trails Park Bowen Rd prosecution under the laws of the Rd Meadows Creek Park City of Pickerington. Hill Rd COLUMBUS Pictures Wanted FRANKLIN FAIRFIELD Diley Rd Send scenic or pictures out Pickerington Rd Softball enjoying one of the parks Fields m n Diley Rd Lehman or programs to Parkland pics@pickerington.net. Busey Rd Winchester Abbey CANAL Pictures may be posted Busey Rd WINCHESTER Busey on the City’s Facebook Road Park page or be used in future Program Guides. k Trail Head Blacklick Creek Trail, Existing Park/Open Space ! ( Restroom â â â â â Blacklick Creek Trail, Proposed Golf Park Watch n m ± Elementary School Multi Use Path Cemetery Please be alert to safety hazards, vandalism and Prepared by Mid-Ohio Regional Planning Commission The information shown on this map is compiled from various m n Middle School Bicycle Lane other crimes in our parks. sources made available to us which we believe to be reliable. N:\ArcGIS\REQUESTS\External\Pickerington\PickTrails.mxd m n High School ââââââ Committed/Funded Bikeway 0 0.5 1 11/8/2017 Miles Report crimes to Pickerington Police Department at 614-575-6911. 44 September • October • November
park / facility reservations Pickerington Parks and Recreation Department Facility Reservations PARK INFORMATION 1. Facilities may be reserved throughout the year from April 1 - October 31. Reservations will be accepted after March 1 of each year. Restroom facilities are not available from November 1 - March 31. Reservations must be made at least 72 hours in advance. Additional information available at www.pickerington.net. 2. Full payment is required when submitting reservation applications. Diley Road Softball Fields Shelter 2 3. Any person or organization holding an approved application shall receive a refund only if the Parks 8995 Diley Road (Seats appox. 30) and Recreation Department is given proper notice to cancel prior to two (2) weeks from the scheduled date of use. A Refund Request Form must be submitted, and there is a $15 processing fee to cancel a reservation. 4. In the event of rain or extreme weather conditions, as determined by the Parks and Recreation Department, reservations will be rescheduled if possible. 5. The group or organization using the facilities shall assure that: a. All park rules are followed. b. Damages made to the facilities or equipment during their time of use shall be their financial Simsbury Disc Golf Course Shelter responsibility. 625 East Columbus Street (Seats appox. 50) c. Facilities shall be left clean and neat. Facility amenities for all park spaces available for reservation can be accessed online at www.pickerington.net Time Slots Facility Reservation Fees 9:00am-1:00pm $60 Fee Sycamore Creek Park Hilltop Shelter 1:00pm-5:00pm $30 City Resident/Non-Profit Discount Fee 280 Hilltop Drive (Seats appox. 50) 5:00pm-9:00pm *Fees are charged per time slot for each reserved space. Sycamore Creek Park Moorhead Shelter Sycamore Creek Park Pickering Shelter Victory Park Terry O’Brien Shelter Willow Pond Shelter 481 Hereford Drive (Seats appox. 50) 300 Covered Bridge Lane (Seats appox. 80) 75 Lockville Road (Seats appox. 95) 209 Pruden Drive (Seats appox. 50) (no electricity available) Community Garden Reservations accepted Sled Hill (Seasonal) Drinking Fountain Vending Machine Basketball Court Pickleball Court beginning March 1! Grills/Fireplace Covered Bridge Putting Green Amphitheater Softball Field Picnic Tables GaGa Ball Pit Tennis Court Green Space Soccer Field Playground Skate Park Arboretum Restrooms Pickerington Parks Reserve space for your family Bike Trail reunion, birthday party, or Parking Gazebo Shelter Swings graduation party beginning March 1 Pond for April 1-October 31, 2022. Colony Park • • • Diley Road Softball Fields • • • • • • 2 • Olde Pickerington Village • • • • Pickerington Community Pool • • • • • Preston Trails Park • • Shawnee Crossing Park • • Simsbury Disc Golf Course • • • • • • • • Simsbury Park • • • Sycamore Creek Park • • 1 • • • • • • • • 4 • • • • • • • • 3 2 • • • Victory Park 2 • • • • • • • • • • • Willow Pond Park • • • • • • • • • • Victory Park at 75 Lockville Road 100 Lockville Road, Pickerington, Ohio 43147 | (614) 833-2211 | www.pickerington.net 5
preschool programs 2022 Fall Program Guide Mini Soccer Stars Soccer Shots Sports, Smiles, Fitness and Fun PRESCHOOL PROGRAMS Bally Sports Group leads an age appropriate program that Soccer Shots is an engaging children’s soccer program Your little tiger needs to get out and get moving and you utilizes fun games and activities to teach the fundamentals with a focus on character development. We positively need a sports program just right for their size. Search no to beginning soccer players. Coaches focus on teaching the impact children’s lives on and off the field through our more, JumpBunch has been bringing child-centered sports basics of dribbling, passing, scoring and the concept of game best-in-class coaching, communication and curriculum. programs to toddlers and preschoolers that are just the play. Proper sportsmanship is emphasized in a positive Each session focuses on basic soccer skills and incorporates perfect match for their needs. Each week, class begins with and encouraging atmosphere enabling children to enjoy those skills in a fun, non-competitive environment. All kid-friendly warm ups and exercises. We then introduce learning soccer while also having fun being physically active. equipment is provided. them to individual skills, equipment and simple rules of Each week will include both developmentally appropriate a different sport each week. Coaches will praise and Age: 2-5 years instruction as well as recreational, non-competitive game encourage children while helping them develop Instructor: Soccer Shots staff play. Each player receives a team shirt. Shin guards coordination, teamwork and confidence. Each session 6 Weeks required. Optional: cleats and soccer ball (size 3) concludes with games, obstacle courses and cool downs Fee: $102 City Resident Discount Fee: $81 to keep kids engaged and moving throughout the session. Age: 3-6 years Adult/parent participation is required for all children under 3. Age: 2-3 years Instructor: Bally Sports Group Age: 18 months-6 years 6 Weeks Class Date Day Time Instructor: JumpBunch staff Fee: $107 City Resident Discount Fee: $85 SHOT-01 Sep 7-Oct 12 Wed 5:30-6:00pm 6 Weeks Fee: $87 City Resident Discount Fee: $69 Age: 3-4 years SHOT-02 Sep 11-Oct 16 Sun 3:00-3:30pm Class Date Day Time Age: 18-36 months with a parent Age: 3-5 years MS-01 Sep 15-Oct 20 Thu 5:00-6:00pm Class Date Day Time Class Date Day Time MS-02 Sep 15-Oct 20 Thu 6:00-7:00pm SF-01 Sep 12-Oct 17 Mon 5:30-6:00pm SHOT-03 Sep 7-Oct 12 Wed 6:15-6:45pm SHOT-04 Sep 11-Oct 16 Sun 3:45-4:15pm Age: 3-4 years Age: 5-6 years Class Date Day Time Class Date Day Time Location: Sycamore Creek Park, Soccer Field 1 & 2 SF-02 Sep 12-Oct 17 Mon 6:00-6:30pm MS-03 Sep 15-Oct 20 Thu 5:00-6:00pm 300 Covered Bridge Lane MS-04 Sep 15-Oct 20 Thu 6:00-7:00pm Age: 5-6 years Class Date Day Time Location: Sycamore Creek Park, Soccer Field 1 SF-03 Sep 12-Oct 17 Mon 6:30-7:00pm 300 Covered Bridge Lane Location: Sycamore Creek Park, Pickering Shelter 300 Covered Bridge Lane Little Sluggers T-Ball Bally Sports Group’s Little Sluggers is a great introduction to the game of baseball for young children. Using age L’IL KIK appropriate activities, players will be introduced to Directed by Grandmaster Stephens of Free Spirit Karate fundamentals of baseball in an atmosphere that is Clubs. Tae Kwon Do skills help build strength, agility and supportive, fun and prevents children from feeling coordination. Students will learn at their own pace, and pressured. Each week, the program will include an most importantly, will have fun, fun, fun! Social skills and instructional portion that will introduce players to batting, coordination drills are wrapped together with our unique base running, fielding, throwing and catching. A modified self-defense techniques. game will also be played each week. Parent participation is Age: 3-7 years strongly encouraged to allow the program to run smoothly. Instructor: Master Sean Saffle The Little Sluggers T-Ball program will provide your child 6 Weeks with a fun and positive t-ball experience, encouraging future Fee: $104 City Resident Discount Fee: $83 participation. Each player receives a team shirt and hat. Glove is required. Optional: cleats and bat Mini Music Makers Class Date Day Time Age: 3-4 years A music and movement class for toddlers and preschoolers LK-01 Sep 22-Oct 27 Thu 5:30-6:00pm Instructor: Bally Sports Group that includes activities designed to promote musical 5 Weeks learning across ages. In this mixed-age class, toddler LK-02 Nov 3-Dec 15* Thu 5:30-6:00pm Fee: $113 City Resident Discount Fee: $90 and preschoolers, along with their parents or caregivers, *No class Nov 24 join together to make and move to music. It is the perfect Class Date Day Time setting for weekly family bonding time and will inspire Location: American Free Spirit Karate Association LS-01 Sep 11-Oct 9 Sun 12:00-1:00pm ideas for more joyful music exploration, play and fun at 5953 E Main Street, Columbus, Ohio 43232 home. Activities include vocal explorations, singing songs both well known and new to families, playing rhythm Location: Sycamore Creek Park, Softball Fields 1-2 instruments, having fun with fingerplays and dancing to a 500 Hereford Drive wide variety of musical pieces. Join us for this non-performance opportunity that the whole family can enjoy. All muscial instruments will be provided. Age: 1-5 years with a parent Instructor: Emily Church 6 Weeks Fee: $87 City Resident Discount Fee: $69 Class Date Day Time MM-01 Oct 1-Nov 5 Sat 10:00-10:30am Register online! MM-02 Oct 4-Nov 8 Tue 6:00-6:30pm Register at www.pickerington.net Location: Sycamore Creek Park, Pickering Shelter or scan the code with your phone. 300 Covered Bridge Lane 66 September • October • November
youth / adult programs YOUTH / ADULT PROGRAMS Pickerington Parks and Recreation Department Skyhawks Basketball Minor League Baseball Zumba Fitness Skyhawks Basketball is a fun, skill-intensive program Bally Sports Group’s Minor League Baseball is a great Zumba® is a latin based dance fitness program. We “visit” designed for beginning to intermediate athletes. Using our introduction to coach-pitch baseball for beginning baseball cultures all around the world through the magic of dance. progressional curriculum, we focus on the whole player - players. The instructional portion of the program utilizes This is a judgement free zone, and no dance experience teaching sportmanship and teamwork. Boys and girls will developmentally appropriate drills with modifications and/ is needed. Bring water along with you, and be prepared to learn the fundamentals of passing, shooting, ball handling, or progressions implemented when necessary, helping work, laugh and have fun; all while making those calories rebounding and defense through skill-based instruction and every child improve their baseball skills. Skills taught cry (sweat). Tammy is a licensed Zumba® instructor and small-sided scrimmages. will include batting, fielding, throwing and catching. The current ZIN™ member. For more information, please visit program will also include a modified, non-competitive www.facebook.com/ZumbaWithTammyTyler. Age: 5-12 years game each week. As weeks progress, new aspects of Instructor: Skyhawks Sports staff Age: 18 years and up the game/game scenarios will be added to allow 4 Weeks Instructor: Tammy Tyler children to learn within the context of the game. Fee: $100 City Resident Discount Fee: $80 11 Weeks Children will still be able to use a tee during the game if Fee: $80 City Resident Discount Fee: $64 they are having difficulty hitting a pitched ball. Parent Age: 5-7 years participation is welcomed in this program. The Minor League Class Date Day Time Class Date Day Time Baseball program will provide your child with a fun and positive baseball experience, while encouraging future ZF-01 Sep 12-Dec 5 Mon 6:00-7:00pm SB-01 Sep 1-Sep 22 Thu 5:00-6:00pm participation. Each player receives a team shirt and hat. *No class Oct 31 Glove is required. Optional: cleats and bat SB-02 Oct 6-Oct 27 Thu 5:00-6:00pm Location: Pickerington Senior Center Age: 5-7 years 150 Hereford Drive Age: 8-12 years Instructor: Bally Sports Group Class Date Day Time 5 Weeks Fee: $113 City Resident Discount Fee: $90 SB-03 Sep 1-Sep 22 Thu 6:15-7:15pm Class Date Day Time SB-04 Oct 6-Oct 27 Thu 6:15-7:15pm ML-01 Sep 11-Oct 9 Sun 1:00-2:15pm Location: Victory Park, Basketball Courts Location: Sycamore Creek Park, Softball Fields 1-2 75 Lockville Road 500 Hereford Drive Fall Softball League Pickerington Chess Club The Parks and Recreation Department offers a Skyhawks Beginning Golf Come be a part of Pickerington’s new chess team! Fall Softball League. One Nation Slowpitch sanc- tioned leagues include an 8 game regular season Students of all abilities are welcome to join where Participants will learn the fundamentals of swinging, sportsmanship and teamwork are fully emphasized. and a tournament for the top 4 teams. The league putting, body positioning, etiquette and keeping score. minmum is 5 teams and team applications are No prior chess knowledge is necessary to join this The program is specifically designed for the entry level player, simplifying instruction so that young players can team. Experienced players are encouraged to join avaliable online at www.pickerington.net. make an easy and effective transition onto the golf course. where they will enhance their chess background. League Fee: $325 All equipment is provided. Students will learn the basics of chess along with Registration Deadline: August 31 Age: 5-12 years various chess tactics and strategies to improve their Instructor: Skyhawks Sports staff game play. All supplies are included in the registra- Games Begin: September 11 4 Weeks tion fee. Day League Location Time Fee: $109 City Resident Discount Fee: $87 Age: 8-16 years Instructor: Eric Mialky Sun Sep 11-Nov 6 Diley Road 6:15, 7:15pm 7 Weeks Age: 5-7 years Fee: $140 City Resident Discount Fee: $115 Class Date Day Time Class Date Day Time BG-01 Aug 30-Sep 20 Tue 5:00-6:00pm PCC-01 Oct 11-Nov 29* Tue 7:00-8:00pm BG-02 Oct 4-Oct 25 Tue 5:00-6:00pm *No class Nov 15 Age: 8-12 years Location: Pickerington Public Library Class Date Day Time 201 Opportunity Way BG-03 Aug 30-Sep 20 Tue 6:15-7:15pm BG-04 Oct 4-Oct 25 Tue 6:15-7:15pm Kids in Karate - Adults Too! Location: Sycamore Creek Park, Soccer Field 1 Directed by Grandmaster Stephens of Free Spirit Karate 300 Covered Bridge Lane Clubs. Tae Kwon Do skills help build strength, agility and coordination. The mental aspects builds self-confidence, self-control and mental-discipline. From kids to adults, it is great for the whole family. Everyone can benefit from this class. Age: 6 years and up Instructor: Master Jennifer Jones 2022 Monday Men’s Church Champions 8 Weeks Fee: $87 City Resident Discount Fee: $69 Sycamore Creek Church Class Date Day Time KIK-02 Oct 20-Dec 15* Thu 6:00-7:30pm *No class Nov 24 Location: American Free Spirit Karate Association 5953 E Main Street, Columbus, Ohio 43232 100 Lockville Road, Pickerington, Ohio 43147 | (614) 833-2211 | www.pickerington.net 7
fall events Pickerington Parks and Recreation Department Haunted Village FALL EVENTS FR Thursday, October 27 EE 6:00-8:00pm Olde Pickerington Village Halloween fun for all ages! Ghost tours, story-telling, hayrides, haunted house, trick or treat, and other spooky activities in the Olde Village. Come dressed up in your Halloween costumes and enjoy the festivities. Vendors and Volunteers needed for Haunted Village! We are seeking individuals who would like to be ghost story writers, ghost actors, tour guides, hay wagon attendants and more! For more information or to volunteer, contact the Parks and Recreation Department at 614-833-2211 Tots Trick or Treat E E Monday, October 31 FR 1:30-2:30pm City Hall 100 Lockville Road Children ages 2-5 years are encouraged to wear a costume and Trick or Treat through City Hall with an adult. City Hall is transformed with Halloween decorations including several stops for candy along the way. For more information, call the Parks and Recreation Department at 614-833-2211 or visit www.pickerington.net. Community Trick or Treat Monday, October 31 6:00-8:00pm R Community-wide Trick or Treat throughout the City of Pickerington. C September • October • November 8
registration form Pickerington Parks and Recreation Department 2022 Fall Program Registration Form REGISTRATION FORM Office Use Only Parent(s) Name Received Date Cash Address Approved By Credit Card City State Zip Total Paid Check # Phone (Home) (Cell) (Work) Receipt Number Email Address (Required) Emergency Contact Information must be filled out (someone outside of the household preferred). Emergency Contact Name Phone Relationship Participant Name M/F Date of Birth Age Grade Class # Fee (Current year) Waiver for Applicant In consideration of permission granted to me or my child to engage in recreational activities and reservations, I, the undersigned, on behalf of myself, my heirs, executors, administrators and assigns, do hereby release and discharge the City of Pickerington, its employees, public officials, agents, officers, assigns and volunteers for any and all injuries suffered by myself and my child, claims, demands, actions, judgments and executions, which might occur on City of Pickerington premises and/or during City of Pickerington sponsored activities. I recognize and voluntarily accept all of the potential risks and hazards associated with participating in said activities, no matter how remote and unlikely. Further, I recognize the inherent danger involved in such activities and take full responsibility for my actions and physical condition. I hereby consent to receive medical treatment and hereby consent on behalf of my child to receive medical treatment, which may be deemed advisable in the event of injury, accident and/or illness during the event. I do hereby grant and give these groups the right to use my or my child’s photograph or image with or without my or my child’s name, both single and in conjunction with any persons or objects for any and all purposes including, but not limited to, private or public presentations, advertising, publicity and promotion relating thereto without compensation. I warrant that I have the right to authorize the foregoing uses and do hereby agree to hold the City of Pickerington harmless of and from any and all liability of whatever nature, which may arise out of result of such uses. The City of Pickerington reserves the right to cancel this agreement or make a decision on any situation not covered herein. I hereby acknowledge that he/she has read and agrees to comply with the terms and conditions of this agreement. For the consideration stated above, I hereby agree, on behalf of myself, my heirs, executors, administrators and assigns, to indemnify any, all or any combination of the aforesaid, jointly and severally and to hold harmless from and against any and all actions, claims, demands, liabilities, loss damage or expense of whatever kind of nature, including attorney’s fees, which may at any time be incurred by reason of my preparation and/or participation in recreational activities and reservations. Credit Card Payment only Name of Cardholder Account Number Exp. Date CVC Code Cardholder Signature: Date: Registration Information: City Resident Discount Fee In order to receive the City Resident Discount Fee, you must live within the City limits of Pickerington. A Online complete Street Listing is available on the website. A household includes one set of parents or legal Register for select Parks and Recreation activities 24/7 with guardians and their children (26 years and under) residing in the same household. If more than one family Online Registration at www.pickerington.net. resides in the household, each family must setup their own household. Babysitters, grandparents and Call the Parks and Recreation Department at 614-833-2211 extended family members are not included in the same household. Even though you have a Pickerington to setup a new household and verify residency status. mailing address, or live within the Pickerington Local School District, you may not live within City Limits. In Person Cancellation of Activities Register in person from 8:00am-5:00pm, Monday-Friday in The Parks and Recreation Department reserves the right to cancel activities based on low enrollment. Decisions to offer activities are based upon pre-registration numbers and made 48-72 hours in advance of the start date. Register early to City Hall, 100 Lockville Road, Pickerington, OH. help avoid a cancelled or closed out activity. If an activity is cancelled or closed, you will receive a full refund in the form By Mail of a check; no cash or credit card refunds. Refunds take about 3 weeks to process. Send completed registration form and payment to: Refund Policy City of Pickerington, 100 Lockville Road, Pickerington, OH 43147. Refunds will be made only before the start of the activity, pool season or facility reservation for one of the following Drop-Box circumstances and a $15 processing fee will apply: • When the activity or pool season pass refund is requested at least seven (7) days in advance (except where otherwise Located outside City Hall, 100 Lockville Road, Pickerington, OH. noted) of the first activity meeting, provided it does not reduce the participation level below the required minimum. By Email • When the facility reservation refund is requested prior to two (2) weeks from the scheduled date of use. Email the completed Registration Form 24/7 with your MasterCard • When a refund request is completed and approved by the Parks and Recreation Department. • No refund will be given for activities under $15. or VISA information to recreation@pickerington.net • No refund will be given for materials purchased. • No refund will be given after the start of the activity. Registration is complete with full payment. Accepted methods of payment include: Cash, Checks made payable to City of Pickerington, and Visa and MasterCard. Please contact the Parks and Recreation Department at 614-833-2211 to request a Refund Request Form. Refunds take about 3 weeks to process. 9
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