Webb Mountain Discovery ZoneParty Application |
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Mailing Address: 52 Webb Circle, Monroe, CT 06468 Discovery Zone Address: 71 Webb Circle, Monroe, CT 06468 |
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Applicant Information |
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Child's Name and Age: |
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Mother’s Name: |
Father’s Name: |
Primary Phone Number: |
Address: |
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City: |
State: |
ZIP Code: |
Email: |
Alternate Phone Number: |
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Event Information |
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Purpose for which facility will be used: |
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Total number of people expected: |
Total Children: |
Total Adults: |
Date: |
Time: |
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Party Theme |
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□ Pirate Treasure Hunt |
□ Elf Adventures |
□ A Fairy Happy Birthday |
□ Lizards, Turtles, Snakes |
□ Buggin’ Out Birthday |
□ Artful Birthday |
□ Vernal Pool Party |
□ This Birthday Rocks |
□ Dig This Party |
□ Scavenger Hunt |
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□ Custom: |
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Discovery Zone DescriptionThe Webb Mountain Discovery Zone promotes exploration and learning in a fun, hands-on environment. The Discovery Zone has a comprehensive trail system with interpretive signs and a self-directed scavenger hunt, centered on the theme of “How the people and animals have used the land, past and present.” We recommend wearing long sleeve shirts and pants, and sneakers or boots, and using bug spray when visiting the Discovery Zone. |
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Payment information |
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Please submit a check payable to the “Webb Mountain Discovery Zone” with this application. |
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Check #: |
Amt: |
*License ID#:
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*If paying by check, please provide the driver’s license ID# of person writing check. |
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Signatures |
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The undersigned does hereby individually and as duly authorized agent for the applicant hold the Town of Monroe harmless from any loss, claim, expense or liability arising out of persons and groups using the Webb Mountain Discovery Zone facilities pursuant to this application. The undersigned, individually and as duly authorized agent for applicants further agrees to comply with all rules and regulations associated with the Webb Mountain Discovery Zone facilities and will reimburse the Webb Mountain Discovery Zone for all clean up and /or damage caused during use of the facility. |
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Signature of applicant: |
Date: |
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Received by: |
Date: |