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TOWN RECREATION REGISTRATION FORM Family Name Street Address City State Zip E-Mail Address Phone Cellphone Current Liability Release on File (Circle): NAME Yes / No BIRTH DATE (If no, please complete
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Write the town where you currently reside or the town associated with your family in the provided space.

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Family name - town is a form or document used to report information about a family residing in a specific town.
All families living in the town are required to file family name - town.
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