2. 2023 Preschool Open Gym

   To register for this session at the Village of Manlius Recreation Department located at 1 Arkie Albanese Ave., Manlius, NY 13104, please complete and submit this form. The department reserves the right to limit or cancel any program. The department does not carry accident insurance for its participants. No refunds are issued upon the start of the program unless the class has been canceled. Make checks payable to the “Village of Manlius”. Please register online.

6. Parent's First Name
7. Parent's Last Name
9. Address
11. City
12. Village of Manlius Resident?

    1. Yes
    2. No
13. Phone Number
    Please indicate if a mobile number
15. Email Address
17. Participant's First Name
18. Participant's Last Name
19. Participant's Age
    -- Select One --1234
21. In consideration in being able to participate in this program, I, the undersigned; intending to be legally bound herby, for myself, my heirs, executors, and administrators, waived and release any and all rights and claims of any kind I may have against The Village of Manlius Recreation Department; or instructors contracted by The Village of Manlius Recreation Department, including injury, illness, or property loss suffered by me/my child which might occur while participating in The Village of Manlius Recreation programs.
23. Registration Fees

    Village of Manlius Residents $40

    Non Village of Manlius Residents $50

24. Would you like to be added to our contact list for upcoming programs & events? You can opt out at any time.

    1. Yes
    2. No
26. Signature & Date
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field