Yes! I am interested in attending the West Goshen Township
trip to New York City on Saturday, December 11, 2010!

Name:_______________________Telephone:__________________

Address:_______________________________________________

______________________________________________________

Number attending:_____ Total payment ($35 per person):_________

Please indicate email address if you wish to receive information about upcoming trips offered by the West Goshen Township Park and Recreation Department:

_____________________________________________________________

Sorry, we are unable to process electronic payments.
Please return completed Registration Form, along with a Participant Recreation Form for each participant over 18 years of age and a Parental Permission Form for each child under age 18 with payment to:

West Goshen Township
Park and Recreation Department
1025 Paoli Pike
West Chester, PA 19380