Public Programs Registration Form


  To register, please fill out the form below. Registrant Information (Parent/Guardian if registrant is under 18):

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Name:

 

 

   

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ZIP / Postal Code:

 

 

What's this?

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Question - Required - Are you CPC Member?


 

Not a member? Click here to become central to your Park today!

 

 


Photo Consent

I hereby authorize and give consent to the Central Park Conservancy to copyright or publish all photographs or video in which I, the undersigned, appear while enrolled as a participant in their program. I further agree that the Central Park Conservancy may transfer, use or cause to be used, these photographs or videos for any and all exhibitions, public displays, commercials, art and advertising purposes without limitations or reservation.

 
Question - Not Required - Age range(s) of kids, if applicable



   


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Question - Required - Date of signature:




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