Sampler


	The West Goshen Park and Recreation Department offers seniors six ways for seniors to stay fit! This six week program will take place at the West Goshen Township Administration Building on Mondays between 2:15 and 3:00 PM. Each week will focus on a different aspect of exercise:

Mondays 2:15 - 3:00 PM
Date	Session
February 15	Stretch, Strength, and Tone
February 22	Balance Basics
March 1	Bands and Balls
March 8	Arthritis and Exercise
March 15	Yoga and Pilates
March 22	Ageless Exercise


	Registration is limited to 7-10 participants..

To register, print this page, complete the information below, and return it with payment ($60 for West Goshen residents, $75 for non-residents) to: Park and Recreation Office, West Goshen Township, 1025 Paoli Pike, West Chester, PA 19380.

Name:_____________________________ Phone:________________________

Address:_________________________________________________________

________________________________________________________________

Amount enclosed ($50 for West Goshen resident, $60 for non-residents):_________

Medical Insurance Company:_________________________________________

In case of Emergency, call (if different than home):__________________________

I, the undersigned, intending to be legally bound for myself, my heirs, executors, administrators, and assigns, hereby waive and release any and all rights and claims for damages I may now or hereafter have against West Goshen Township and its respective employees for any and all damages or injuries which may be sustained by me or my family arising out of participation in the above activity.

____________________________ ___________________________
Signature Date