City of Strongsville Seal

SAFETY TOWN LOGO

SAFETY TOWN INFORMATION & REGISTRATION FORM – 2015

Printable Registration Form

Safety Town is a Strongsville Police Department program.  The Strongsville Rotary and other civic groups sponsor this program.  Safety Town is not mandatory prior to entering kindergarten but is an excellent opportunity for the children to explore their community through class activities and field trips while learning important safety precautions.

Registration (in person only) is at the Walter F. Ehrnfelt Recreation and Senior Center; 18100 Royalton Rd. All Safety Town classes will be held at the Safety Town Learning Center, behind the Senior Center. A non-refundable fee of $40.00 (check or cash payable to The City of Strongsville) per child must be paid at time of registration by the child’s parent or guardian.  Only children who are Strongsville residents and/or attend a Strongsville school and will be starting kindergarten this year, may register for Safety Town on one of the below dates & times (non-residents may apply after these dates, if space is available):

 

1st - Registration Date:   On Saturday, April 25th from 9:00 a.m. until 11:00 a.m.

                         2nd -Registration Date:   On Wednesday, May 6th from 5:00 p.m. until 8:00 p.m.

~If you miss in-person registration dates please contact Marie at (440) 580-3257 to see if we have openings~

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Class Sign Up - I would like my child to attend (please check the appropriate session/time):

 

Session 1 – June 8th    -   June 12th                8:30am - 10:30am       OR                  11:00am - 1:00pm

Session 2 – June 15th -   June 19th                 8:30am - 10:30am       OR                  11:00am – 1:00pm

                                                         OR         Evening class time:                              6:00pm – 8:00pm

Session 3 – June 22rd -   June 26th                8:30am – 10:30am       OR                  11:00pm – 1:00pm

Child’s Name: ________________________________________

Kindergarten School: ____________________

 Parent/Guardian: ____________________________________________________________________________

Address: ________________________________________________________________ Zip: _______________

Home Phone: _________________________________    

Cell Phone: __________________________________

Family Doctor: _____________________________________

Telephone: _______________________________

Emergency Contact: ________________________________________

Telephone: ________________________

Specify Emergency Medication Required (i.e. EpiPen): _____________________________________________

 

As parent or guardian of ____________________________________, I hereby waive any claims for damage or for injury to the above named child against Strongsville Police “Safety Town”, its instructors, agents and/or representatives.  I also, hereby give my permission for the above named child to travel by bus for field trips to visit both the Strongsville Fire Station and Police Station during my child’s Safety Town Session.  I understand that my child will be accompanied by his/her regular teachers and student helpers.

Parent/Guardian: __________________________________________________

Date: ___________________

Signature: _________________________________

                                                                      

~ Children with Special Needs may require a 1:1 aide, provided by parent ~

For additional information please contact Marie:

Strongsville Police Department - 18688 Royalton Road, Strongsville, OH  44136

marie.mcmanus@strongsville.org or (440) 580-3257

 

Volunteers Needed! Sign up by April 25, 2015.

Please click on the links below for an Application and Guidelines:

Safety Town Volunteer Application

Safety Town Volunteer Guidelines