MOUNT KISCO RECREATION COMMISSION
Lego® Building...Forces of Nature
Fasten your seatbelts: We are in for some wild weather!! This unit is all about the
amazing and powerful forces of nature, as students explore the when, where, how
and why of all kinds of natural phenomenon. Each MOVING or MOTORIZED model
represents the motion of that particular weather or event with a seat for a minifigure to take in the action.
Location: Bedford Hills Community House
74 Main Street, Bedford Hills
Day:
Tuesdays
Dates:
January 12 – March 8 (no class 2/16)
Time:
4:30pm – 5:30pm
Grades: K-5
Fee:
$150 (Mt. Kisco Residents must register with MKRC)
Instructor: Bricks 4 Kids™
Child’s Name ________________________________ Age _____ Birth Date ________
Mailing Address __________________________________________________________
Home Phone _______________________________ Cell Phone ___________________
Home Email Address ________________________________
Emergency Contact: Name ________________________ Number _________________
Any medical Concerns? ____________________________________________________
General Release: The undersigned hereby releases the Village/Town of Mount Kisco, it’s Village Board and
Commission Employees and volunteers thereof 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 the
events/activities unless I notify them in writing.
Parent/Guardian Signature _______________________________ Date ______________
Office Use Only: Receipt # ________ Date ________ Ck # ________ RecTrac ________