Mount Kisco Recreation Commission
104 Main Street
Mount Kisco, NY 10549
(914)666-4577 after 3:00 for more information
Or the Recreation Office (914)666-3059
http://www.mountkisco.org/Pages/MtKiscoNY_Recreation/index
*LADIES NIGHT*
WOMEN’S OPEN BASKETBALL
When is the last time that you went to *Ladies Night*? Well, come out
with your best girl friends on TUESDAY nights for Ladies Only Basketball at
the Memorial Complex in Leonard Park. You know that you still got it no
matter how young or old you are. Come one come all and have fun.
Anyone from any town can come and join in the action.
This time is for women ONLY!!!
Location:
Ages:
*NEW Day*:
Time:
Starting:
Memorial Complex Leonard Park
21 and up
*Tuesdays* New DAY*
7:00pm – 8:00pm
September 20th – December 13th
(*No program 11/8*)
Fee:
RES. $5.00 per visit
N/R. $7.00 per visit
Name: ____________________D.O.B._______Age_____________
Address: ___________________Town______________Zip_______
Home Phone: _________________ Cell Phone: ________________
Work Phone: _______________Email:_______________________
Emergency Contact: ____________________Phone____________
Any medical conditions____________________________________
Doctor’s Name____________________Dr.s Phone______________
General Release the undersigned hereby release the Village/Town of Mt. Kisco its Village Board and
Commission employees and volunteers thereof, of any responsibilities should an accident or injury occur to the
above named participant as a result of participation in the aforementioned program sponsored by the Mt. Kisco
Recreation Commission. I understand the Recreation Commission may use photos taken during events unless I
notify them in writing. Participant’s Signature:____________________________________________
Office Use Only: Receipt#:______ Check#:_____ Date: _____ Initials: ____ RecTrac#:____