Registration is on a first come first served basis.

Child must be entering kindergarten in the Fall of 2019 and be a resident of Cuyahoga Falls or Silver Lake. Safety Town is located in the community rooms at The Natatorium in Cuyahoga Falls. Ohio.

DEADLINE FOR REGISTRATION IS FRIDAY, MAY 24, 2019

Your child will not be released to anyone not listed here. PHOTO ID REQUIRED AT TIME OF PICKUP

Pick-Up Procedure:

Each child must be picked-up from Safety Town by either a parent or guardian listed above on this application, or by an adult named below:

PHOTO ID IS REQUIRED AT TIME OF PICK-UP!!

The Cuyahoga Falls Fire and/or Police Departments will verify the ID.

Child will not be released to any person not named on this form!

Any additional adults authorized to pick up your child.(Names not under Parents/Guardian field) 1 name per line. 1. 2. 3. 4. 5.
First Session Preference
Second Session Preference
Third Session Preference
Fourth Session Preference
List any illness or condition that may have an impact at Safety Town.

 BY SUBMITTING THIS FORM, I grant the City of Cuyahoga Falls the right to take photographs/videos of my child(ren) during Safety Town. I authorize the City of Cuyahoga Falls to use and publish these photographs in print, or electronically for such purposes as publicity, illustration, advertising, and Web page content.