Online Registration for Summer Playground

If you wish to register your child online please print the Medical Form below.
These forms are required by the New York State Health Department before the start of playground.


 


Medical Form

Please do not send via email as this form may contain sensitive information

Important!
Copies of your child’s immunization records and the health medical forms for playground are required before the 1st day of playground. 

Failure to turn Health Medical Forms AND Child's Immunization Records before July 2nd will NOT be able to attend Playground, until these forms are submitted.
 

 Please do not email this form as it contains sensitive information.

Please drop the forms off at the Recreation office (across from the gym) or in the Clerk's Office (across from the auditorium).

You are able to mail Immunization Records and Medical Forms to:


Village of Manlius Recreation Department 
1 Arkie Albanese Avenue 
Manlius, New York 13104 


You are able to fax Immunization Records and Medical Forms to:
The fax number is 315-682-8119