2019-2020 Recreation Program Forms

Recreation Program Forms
  • Registration Form Barkhamsted Recreation (Fall, Winter, Spring  and Summer programs for adults only) Summer camp has a seperate registration form.    Please use the Summer Camp forms for Camp registrations in the links below for Recreation and Nature Camp.
  • (All program participants that require an Epi-Pen must fill out the Medical Form in the link below and have signed by a DR. at least one week prior to the start of a program or camp for your safety.  
  • Medical Forms (including form for Epi-Pen use)   (This is for all programs)

Please send the completed Registration form/emergency card with payment to:

Donna Bastrzycki-Recreation Director

Barkhamsted Town Hall- 67 Ripley Hill Road -PO Box 558

Pleasant Valley, CT 06063-0558

Or Drop off at the Town Hall in the Recreation Office. You can also drop your forms in the white mailbox in front of town hall if you are arriving after town hall is closed for the day.  All forms must be complete with full payment in order to register.  Please register before the deadline to help ensure safety, proper supervision and ample supplies for the program.  Refund Policy for all programs-The  Recreation Office must be notified at least one week (7 business days) prior to start of camp/program, all but 25% of the program fee will be refunded. NO REFUNDS will be given after camp/program begins unless there is an serious medical condition verified by a Dr.'s note.