AMHERST RECREATION YOUR GUIDE TO FALL RECREATION 2021 - STAY CONNECTED AMHERSTMAREC.ORG - AMHERST, MA
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Amherst Recreation Your Guide to Fall Recreation 2021 Stay Connected AmherstMaRec.org rec@amherstma.gov
PrimeTime
Afterschool
Program
State Licensed
Experienced Directors &
Staff
CPR and First Aid Certified
Staff
Games and Activities
Homework Help
Field Trips
At Crocker Farm Elementary School
Begins Sept. 2nd | M - F, 2:40-5:30 PM
Fee Subsidy Monthly Fees:
Available!
*For income eligible
1 day/week - $68
Amherst Residents 2 days/week - $136
3 days/week - $204
4 days/week - $272
Contact us for info today - 413-259-3065
rec@amherstma.gov | www.amherstmarec.org
Full week (5 days) - $306
www.AmherstMaRec.org
Amherst Recreation
Fall 2021 Recreation Guide
Amherst Recreation
Contents You can REGISTER...
PrimeTime Afterschool.......................... We accept registrations on a first-come, first-serve basis
until the maximum number of persons per program is
Message from our Director.................... reached. We must receive complete payment (includ-
Special Events........................................ ing non-resident fees) at the time of registration. If
Cherry Hill Golf..................................... the program has filled, we will place your name on
our waiting list. Early registration helps us reach the
Aquatics................................................. minimum class numbers and ensures your space in a
Youth & Adult Enrichment ................... popular class.
Youth Sports.......................................... Online
Adult Sports.......................................... www.AmherstMaRec.org
24 hours a day, 7 days a week
Policies & General Information............. We accept VISA, Mastercard, and Discover
Fee Subsidy Application.......................
By Phone
Registration Form.................................. (413)259-3065
Town Facilities........................................ Call us during our office hours.
Monday-Friday 8:00 a.m.-4:30 p.m.
Facilities Map..........................................
By Mail
170 Chestnut St. Suite #1, Amherst, MA 01002
Send the registration form along with a check payable to the
Town of Amherst. Upon receipt of your mail-in registration
Amherst Recreation Commission form and fee, you will be enrolled (space permitting).
Sanjay Arwade
Matt Cain
Youssef Fadel
Carolyn Mailler Sometimes additional programs are added to our lineup
Sarah Marshall after our program guide is printed. Look out for more
Victor Nunez-Ortiz
Amherst Recreation programming beginning later this fall
at www.amherstmarec.org
Cover Photo taken by Grace Marczuk
Contact Us:
GENERAL INFORMATION:
Registration............................................................Diana Wheeler.......................... ....rec@amherstma.gov...........259-3065
Cancellation Line......................................................................................................................................................259-3066
ADMINISTRATIVE STAFF:
Director...........................
Operations Manager, Adult & Youth Ed..............Donna Woods...................woodsd@amherstma.gov....................259-3285
Registration & Marketing Coordinator................Marion Jordan.................. jordanm@amherstma.gov...................259-3186
PROGRAMMING STAFF:
Afterschool Site Coordinator (Crocker Farm).....Grace Marczuk................. marczukg@amherstma.gov.................259-3177
Aquatics . ...........................................................Katie Brown......................brownc@amherstma.gov.....................259-3230
Adult Sports, Youth Sports, Cherry Hill Golf Course
Sports Camps....................................................Noah Kramer.................... kramern@amherstma.gov...................259-3144
Special Events, Camps, Outreach.....................Nicole Abelli...................... abellin@amherstma.gov......................259-3151
www.AmherstMaRec.org
Message from our Director...
Amherst Recreation
Dear Friends,
Thank you for your continued support of Amherst Recreation! It has been a wonderful summer filled with great
programs, camps and swimming at our outdoor pools. The new playground and spray pad at Groff Park have been
very popular and the new basketball courts at Mill River Recreation Area should be completed soon.
I am pleased to be serving in an interim capacity as the Town searches for a dynamic new leader for the depart-
ment. Look for updates on the search process on our website.
It is a challenging time for all of us as we work together to come through the pandemic. Our dedicated team of
staff, instructors, teachers, coaches and mentors are looking forward to serving you in the months ahead. I’d like to
again thank former Director Barb Bilz for her great leadership and vision during the past 20 years. Special thanks
also to our outgoing Commission Members, Meg Rosa, Becky Demling and Stephanie Jackson. I would also like
to welcome Sanjay Arwade and Matt Cain to the Commission. Thank you all for stepping up to serve the Amherst
community.
As the nights get cooler and the air a bit crisper we begin to think about the upcoming school year and our fall
program offerings. Look for details, updates and additions on our website at www.amherstmarec.org
I hope to see you out there using our parks, playgrounds and trails later this summer and into the fall.
Get out there and enjoy!
Sincerely,
Dave Ziomek
Interim Director
Special Thanks
A special thanks for the Amherst-Pelham Regional School District and to the excellent school
department staff for their cooperation, which allows us to provide numerous activities in
school facilities. We would also like to thank the Department of Public Works for maintain-
ing the outdoor spaces we all share, the Health Department for keeping our community
safe and informed during the pandemic, and to the Amherst Recreation Commission for
their work and support.
GIVE The Gift of Recreation
We are now selling Amherst Recreation Gift Certificates. Our Gift
Certificates are available for purchase online anytime or by sending
a request to rec@amherstma.gov
We believe that Recreation is for ALL
Families who live in Amherst may qualify to receive financial assistance toward youth pro-
gramming. Our fee subsidy program has helped many of our friends and neighbors par-
ticipate in programs that truly enrich the lives of their children. To see if you qualify, please
submit your fee subsidy application by visiting our website and completing the form. Sub-
mit to rec@amherstma.gov
www.AmherstMaRec.org
Connect with Rec!
Amherst Recreation
Recreation Highlights and Updates
Stay Connected Stay Active Stay Social
Mad Science and Art Ventures Amherst Recreation was Here’s your chance to be in-
for Kids are bringing you all recently voted Best Youth volved in the community
things “Wild and Crazy!” Sports leagues by Readers through the Theater!
Choice 2021!
Sometimes additional programs are Auditions are being held
added to our lineup after our program NEW 3 V 3 Lacrosse for boys soon - Call to schedule yours
guide is printed. Look out for more and girls. today! 413-259-3065
Amherst Recreation programming
Don’t miss registration for
beginning later this fall at
Amherst Youth Basketball
www.amherstmarec.org
League.
www.AmherstMaRec.org
Amherst Recreation
Memberships Resident/
Non-Resident
Located at 323 Montague Road, in Amherst, Cherry Hill Adult Regular $609/$660
Golf Course is a 9-hole municipal facility set on some
Junior Under 17 $168/$187
of the most beautiful land that the Connecticut River
Valley has to offer. The course features ponds, wetlands Senior Membership $494/$545
and a wide variety of trees, birds and wildlife. From the Couple Membership $1,103/$1,210
upper course tee boxes, fairways and greens, players Senior Couple $935/$1,029
enjoy a scenic view of the Berkshire Hills.
College Student $399/$399
Check our website
www.amherstma.gov/373/Cherry-Hill-Golf-Course *The Town of Amherst Reserves the right to adjust member-
for information about Tournaments, Memberships, ship rates each season. New rates may apply in Spring 2022.
Leagues, Clinics and book your next tee time! Clubhouse phone # 413-256-4071
Come play the Hill soon! Open to the Public
9 holes - $16 Adult, $8 Youth
www.AmherstMaRec.org
Swim Lessons
Check out our NEW Lesson Format! Amherst Recreation
We believe that swimming is a life skill. Our qualified instructors love teaching water safety and great
technical swimming to our community.
The first day of each session will consist of testing to ensure that each swimmer is placed in the ap-
propriate group. Join us!
Parent & Child - Ages 6 months - 3 years
Guppies - Introduction to water with parent or guardian.
Skills emphasized: Water comfort | Blowing bubbles | Socialization
Ages 3-6 years
Yellow Group- Entry Level class without parent
Green Group - Swimmers with some experience
Ages 7 - 14 years
Red Group - Novice Swimmers
Blue Group - Experienced Swimmers
Fall Swim Lessons take place at the Indoor Pool at the Amherst Middle School
170 Chestnut St. , Amherst MA 01002
For questions or concerns relating to Aquatics, please contact Aquatics Coordinator, Katie
Brown at brownc@amherstma.gov
www.AmherstMaRec.org
Swim Lessons
Amherst Recreation
Fall Swim Sessions
Session 1: September 28 - October 21, 2021
Session 2: October 26 - November 18, 2021
$75 residents, $85 non-residents
Parent & Child Lessons
Ages 6 months - 3 years with parent
Introduction to water with parent or guardian.
Skills emphasized: Water comfort | Blowing bubbles | Socialization
142300 A Tuesday & Thursday 5:00-5:25 PM
142300 B Tuesday & Thursday 5:30-5:55 PM
Ages 3 - 6 Years
Yellow Group- Entry Level class without parent
142300 C Tuesday & Thursday 5:00-5:25 PM
142300 D Tuesday & Thursday 6:00-6:25 PM
Green Group - Swimmers with some experience
142300 E Tuesday & Thursday 5:30-5:55 PM
142300 F Tuesday & Thursday 6:30-6:55 PM
Ages 7 - 14 Years
Red Group - Novice Swimmers
142300 G Tuesday & Thursday 5:30-5:55 PM
142300 H Tuesday & Thursday 6:30-6:55 PM
Blue Group - Experienced Swimmers
142300 I Tuesday & Thursday 5:00-5:25 PM
142300 J Tuesday & Thursday 6:00-6:25 PM
Fall & Winter Lessons take place at the Indoor Pool at the Amherst Middle School
170 Chestnut St. , Amherst MA 01002
Coming Winter 2022 we will be offering more lessons, including Adult Swim Instruction!
For questions or concerns relating to Aquatics, please contact Aquatics Coordinator
Katie Brown at brownc@amherstma.gov
We require masks to be worn to ALL Indoor Programming
Adult and Youth Enrichment www.AmherstMaRec.org
Amherst Recreation
141431 Qi Gong with Natalie Imbier (Adult Health & Wellness)
Gong (pronounced CHEE GONG) is a holistic system of cultivating and balancing the body’s internal energy, called Qi. This mind-body awareness exercise is
composed of gentle stretching and flowing exercises, rhythmic breathing and meditation. Enjoy greater flexibility, strength, balance, and vitality as well as
decreasing stress, tension, and stiffness.
Dates: Session A - 9/29/2021 - 11/3/2021, Session B - 11/10/2021 - 12/15/2021
When: Wednesdays 9:30 am - 10:30 am
Meeting at the Munson Library
Fee: $99 residents/$109 non-residents
ArtVentures for Kids and Mad Science (Youth Enrichment)
ArtVentures - “Where the Wild Things Art” - Grades K-5 - Art adventurers explore many whimsical and original art forms and techniques, discovering clay
and collage, painting and drawing, mask-making and decorating, just to name a few! Sculpt colorful monsters and clay pots, design ceramic robots, deco-
rate birdhouses and wooden guitars, create tape resist t-shirts and so much more. Plus, hear wonderful stories, such as “Where the Wild Things Are” and
“Nova the Robot,” each relating to a work of art.
Dates: 9/21/2021 - 11/23 (No Class 11/2/2021)
When: Tuesdays 4:00-5:00 PM
Meeting at the Bangs Community Center
Fee: $149 includes all materials - REGISTRATION LINK: www.ARTventuresforkids.com
Mad Science - “Crazy Contraptions” - Crazy Contraptions - Grades 2-6 - Rube Goldberg became famous for his drawings of complex machines that perform
very simple tasks. Children will learn about simple machines and devices to transfer energy, then design, build, and test their own wacky Rube Goldberg
machines using every-day material.
Dates: 9/23/2021 - 11/18/2021, 12/2/2021 (No Class 11/11, 11/25)
When: Thursdays 4:00-5:00 PM
Meeting at the Bangs Community Center
Fee: $170 includes all materials - REGISTRATION LINK: https://westnewengland.madscience.org/
Dance With Emily
142131 A - Dance Discovery for K-2nd grade (Youth Enrichment)
This is a creative movement class, with some yoga games. Energetic and engaging for younger kids to get a feel for movement and have fun at the same
time. We suggest dancers bring a yoga mat and water bottle.
Dates: 9/13/2021 - 10/18/2021
When: Mondays 4:00-4:45 PM
Meeting Outdoors at the Mill River Pavilion
Fee: $99 residents/ $109 non-residents
142131 B - Hip Hop for 3rd-5th grade (Youth Enrichment)
Move to fun music as we explore different rhythms and syncopated beats. It’s also great exercise! Bring a water bottle.
Dates: 9/15/2021 - 10/20/2021
When: Wednesdays 4:00-4:45 PM
Meeting Outdoors at the Mill River Pavilion
Fee: $99 residents/ $109 non-residents
142131 C - Dance and Yoga for Seniors (Adult Health & Wellness)
Stretch, move and gain balance and control. Join Emily in a joyful movement class which incorporates both yoga and dance. We suggest dancers bring a
yoga mat and water bottle.
Dates: 9/14/2021 - 10/19/2021
When: Tuesdays 11:00 AM-12:00 PM
Meeting Outdoors at the Mill River Pavilion
Fee: $99 residents/ $109 non-residents
Red Cross Certification Courses coming late Fall 2021. Stay tuned!
We require masks to be worn to ALL Indoor Programming
www.AmherstMaRec.org
Amherst Recreation
Youth Sports
Come Play with Us!
Fall Youth Sports
DATES WHEN SPORT WHERE INSTRUCTOR AGES FEES
$65 (add
9/4 - 10/30 Sat, 3-4:30PM 3 V 3 Boys Lacrosse MS Tennis Courts Charlie Edwards 12--18 on $35)
$65 (add
9/5 - 10/31 Sun, 3-4:30PM 3 V 3 Girls Lacrosse Groff Park Pat Schilling 12--18 on $35)
9/6 - 10/21 Mon, Wed, Thu, 4-5:45PM HS Ultimate Fort River Joe Costello 14--18 $69
9/8 - 10/13 Wed, 4:30-5:30PM Ace Tennis MS Tennis Courts Jamie Morrell 8--12 $99
9/14 - October 2021 TBA Girls on the Run Mill River GOTR 7--14 $150
9/20-11/11 Mon, Thu, 3:30-5:30PM MS Ultimate Fort River Chris Cianfrani 10 -- 14 $69
Pre-Season Basketball
10/23 Sat, 10a-12p & 1-3p Clinic HS Gym ARHS Coaches 5--14 $5
Amherst Youth Basketball
12/11-March 2022 TBA (AYBL) TBA TBA 5--18 $189
Tryouts 10/20, Suburban Basketball
10/21, 10/23 Wed, Thu, Sat, times TBA League Tryouts MS Gym League 10--15 TBA
142305 High School Ultimate with Joe Costello 142304 Middle School Ultimate with Jim
Pistrang & Chris Cianfrani
For boys and girls in grades 9-12. This program will provide a fun and com-
petitive venue for high school students to play Ultimate. Play two games For boys and girls in grades 5-8. Jim Pistrang and Chris Cianfrani will run
per week with skills and drills session on Mondays. Game days - Wednes- the clinics, consisting of workshops and drills followed by scrimmags every
days & Thursdays with makeups on Tuesdays. session. The workshops and drills focus on basic skills and strategis, and are
designed to ensure maximum invlovement for all players. Novice and ex-
Dates: 9/6/2021 - 10/21/2021 periences players are welcome. Ultimate is an active sport - players should
When: Mon., Wed., & Thu., 4:00-5:45 pm expect to run hard every session.
Meeting at the Fort River Fields
Fee: $69 residents/$79 non-residents Dates: 9/20/2021 - 11/11/2021
When: Mon. & Thu., 3:30-5:30 pm
Meeting at the Fort River Fields
Fee: $69 residents/ $79 non-residents
142110 Ace Tennis with Jamie Morrell 142104 3 V 3 Lacrosse for Boys & Girls
For boys and girls ages 8-12. Participants will be grouped by age and skill For all levels ages 12-18. Play quick scrimmages against teams of 3 on a
level. Jamie is the Tennis Club Pro at Bay Road Tennis Club at Hampshire smaller field. No goalies or checking. Great opportunity to learn the sport
College. Morrell’s coaching achievements include Amherst College assis- of refine skills. In addtion to games, there will be practice drills and instruc-
tant men’s coach, head coach for the men and women’s tennis teams at tional time each week. *Optional add-on subscription to USA Lacrosse.
Springfield College, and instructing at several other tennis camps includ-
• A - Boys with Charlie Edwards - 9/4/2021 - 10/30/2021
ing Bollettieri Tennis Academy and the Nike tennis camps. Participants
When: Saturdays 3:00-5:30 pm
should wear t-shirts, shorts, tennis shoes and bring their own rackets and
Meeting at the Middle School Tennis Court
water bottles.
• B - Girls with Pat Schilling - 9/5/2021 - 10/31/2021
Dates: 9/8/2021 - 10/13/2021 When: Sundays 3:00-5:30 pm
When: Wednesdays 4:30-5:30 pm Meeting at Groff Park
Meeting at the Middle School Tennis Court Fee: $65 residents/$75 non-residents (*Add-on Option - $35)
Fee: $99 residents/$109 non-residents
We require masks to be worn to ALL Indoor Programmingwww.AmherstMaRec.org
Youth Sports
Amherst Recreation
Amherst Youth Basketball AYBL
League (AYBL) Pre-Season Players’ Clinic
Recreational Basketball League Saturday, October 23
Jamboree on December 11, 2021 Girls’ clinic K-8 10 AM - 12 PM
Games begin Saturday, January 8th, 2022 Boys’ clinic K-8 1 - 2 PM
Coed League The best opportunity to get ready for the
season!
142300 A Instructional Division
Learn and review basic skills:
Grades K-2
Fort River and Wildwood Schools on Dribbling, Shooting, Passing, Rebounding,
Saturdays or Sundays Defensive & Offensive footwork/strategies
The Coed Division does not play formal
Clinics led by ARHS Basketball coaching staff
games. NOTE: If your child is in 2nd grade
and ready for games, they are eligible to
$5/child
play in the 2-3 Boys or 2-4 Girls division.
Amherst High School Gym, pay at door
All proceeds benefit ARHS basketball
Boys’ Divisions
142300 B Grades 2-3 Sunday PM Wildwood or Fort River Fees per Division
142300 D Grades 4-6 Saturday AM Middle School
Grades K-2 (Coed) $95 ($20 late fee after 11/22
142300 F Grades 7-8 Saturday PM Middle School
Grades 2-8 Division $125 ($20 late fee after 11/22)
142300 H Grades 9-12 Saturday PM High School
Grades 9-12 Boys & Grades 8-12 Girls $135
Girls’ Divisions ($20 late fee after 11/22)
142300 C Grades 2-4 Sunday PM Wildwood or Fort River
142300 E Grades 5-7 Saturday AM Middle School
142300 G Grades 8-12 Saturday PM Middle School or High School
Coaches Wanted Share your love/knowledge
of basketball, and have a fun & rewarding expe-
Team/Friend Requests
Players in grades K-6 may list ONE (1) friend. No guarantees rience working with local children. No previous
for placement. Register prior to November 14th for preference. experience necessary!
Team Assignments
You will receive a call or email from your coach regarding prac-
tice times and game schedules.
Referees Wanted A basic understanding of the
rules of basketball is required.Training provided in
Novemeber. Must be available to work Saturdays
and/or Sundays throughout the season.
Advertisement
Contact Noah Kramer for Available Positions
kramern@amherstma.govwww.AmherstMaRec.org
Youth Sports
Amherst Recreation
Suburban Basketball League
Tentative dates for suburban basketball team tryouts are set for the upcoming 2021-2022 season.
Players are encouraged to attend BOTH sessions to maximize their chances of making the team.
Location: Amherst Reg. Middle School Gym
Tryouts
Important Sign-Up Information
If your child is planning to try out for one of the Suburban Dates Times
Basketball teams, register them for the recreational Wed., Oct. 20 5/6th grade boys - 5:30-7:00 p.m.
league before the late date anyway – they will then be 7/8th grade boys - 7:00-8:30 p.m.
guaranteed a spot on a recreational team if they do not Thur., Oct. 21 5/6th grade girls - 5:30-7:00 p.m.
make the Suburban team. If they DO make a team, the 7/8th grade girls - 7:00-8:30 p.m.
recreational registration fee can then be applied toward
the Suburban fee. Sat., Oct. 23 5/6th grade girls - 10:00-11:30 a.m.
7/8th grade girls - 11:30-1:00 p.m.
5/6th grade boys - 1:00-2:30 p.m
7/8th grade boys - 2:30-4:00 p.m.
General Information
l Suburban Basketball is a travel team, so participants/parents should be prepared to commit to a full schedule
of practices/games/tournaments from December through early March.
l There is no cost to try out, BUT if a player does make the team, there will be a participation fee that will be
based on the cost of uniforms, officials, travel, tournament entry fees, etc.
l There will be at least one team chosen for each division (5th/6th & 7th/8th). If there is perceived to be sufficient
interest/talent remaining, a second team (“B” Team) will be formed.
l Only students who attend ARMS or are a resident of Amherst, Pelham, Shutesbury or Leverett are eligible.
Girls on the Run
Our fall programming season starts the week of September 14th, and right now, GOTR of Western MA is hard at work to ensure girls will continue to build
connectedness, strengthen their social-emotional health and engage in physical activity. Interested in running? Interested in coaching? Let us know!
To learn more and register visit: www.girlsontherunwesternma.org
Dates: Starting 9/14/2021
When: TBA
Meeting at the Mill River
Fee: $150 (sliding scale)
We require masks to be worn to ALL Indoor Programmingwww.AmherstMaRec.org
Adult Sports
Amherst Recreation
www.AmherstMaRec.org
Amherst Recreation
Policies and General Information
Personal Information Online, by Phone & by Mail
Customers purchasing tickets and registering for programs and classes are added to our Amherst Recreation database
automatically and will receive information by mail regarding our programs, classes, events and performances. Customers
transacting business with us online will also be added to our email list and may receive emails about our programs,
performances and classes. Please note you may opt out of the mail or email list if you contact our registration desk by phone
(413) 259-3065 or by email. Once you have opted out of these lists you will permanently be removed from the email list
but will be added to the mailing list whenever you purchase tickets or register for a program. Amherst Recreation does not
sell, lease or rent its email list to third parties. Amherst Recreation is a municipal department within the Town of Amherst.
In situations where personal or identifying information is submitted (i.e. email messages or forms), this information will
not be released unless required to do so by the Massachusetts Public Record Law. With certain exceptions, emails and
letters to Town officials and departments are public documents under State law.
Fee Reduction Program
Amherst Recreation and the Amherst Recreation Commission recognize that the charging of fees for programs may place
such an economic hardship on some individuals that they are unable to participate. For that reason, Amherst Recreation
ensures that all programs are available at a reduced rate to qualified Amherst residents (certain restrictions will apply). Visit
our website to apply.
Insurance/Liability
Many recreation activities have inherent risks associated with participation. Amherst Recreation is not able to provide
accident or hospitalization insurance ance for program participants. Therefore, all participants are strongly advised to have
adequate personal coverage. Participation in all department programs shall be at the registrant’s own risk.
No Smoking Policy
Please be aware that smoking is prohibited in school buildings and on school grounds at all times. Smoking is also prohibited
in town buildings.
Nonresident Fee
Some Amherst Recreation administrative and programmatic costs are covered by Amherst tax dollars. Therefore, those
who are not residents of Amherst will be assessed a $10 surcharge for each program in which they register.
Photographs of Activities
Occasionally, Amherst Recreation will have a photographer take pictures of our programs for use in our program guide,
website and other media. If you or any member of your family are a participant of a program and DO NOT wish to have
your picture used by Amherst Recreation, please contact our office before the end of the program.
Postponements and Cancellations
In instances of bad weather during the day or on weekends, announcements regarding program cancellations will be available
after 4:30 p.m. at the Amherst Recreation office, (413) 259-3066. If there is insufficient registration or other reasons to
prevent an acceptable presentation of an activity, Amherst Recreation reserves the right to cancel a program.
Refunds
Ticket purchases are non-refundable. For Programs or class registrations: All refund/transfer requests MUST be made in
writing. All cancellations/transfers are subject to a $10 processing fee. If Amherst Recreation makes the decision to cancel
a class for any reason and we are unable to make up the class, we will issue partial account credit for cancelled class
sessions.
Inclusion & Accessibility
Requests for special needs accommodations must be made in writing, email, or faxed three weeks prior to the start of a
program. We will do our best to successfully accommodate your need. Questions? Contact us at 413-259-3065, email:
rec@amherstma.govwww.AmherstMaRec.org
Amherst Recreation
Amherst Recreation
Fee Reduction Application
Amherst Recreation, 170 Chestnut St., Suite 1, Amherst, MA 01002
phone: 413-259-3065, fax: 413-259-2407
website: www.AmherstMaRec.org, email: rec@amherstma.gov
Please contact us if you would like help completing this application.
All information provided on this application is strictly confidential.
Section A: Information About You and Your Family
Today's Date________________ Your Title (Optional) Mr.____ Miss____ Ms.____ Mrs.____
Your Name: _________________________________________________
(First) (Last) (M.I.)
Mailing Address: ________________________________________________________________________
(Street, P.O. Box) (Town) (State) (Zip)
Residential Address: ________________________________________________________________________
(Street) (Town) State) (Zip)
Phone Number: __________________ __________________ Email:_______________________________
(Home) (Cell)
1. Do you have legal dependants who live with you more than half the year? Yes____ No____
Please list their names and dates of birth. If you need more space, please use the back of this form.
Name______________________________________ DOB ___/___/_____ ___Male ___ Female
Name______________________________________ DOB ___/___/_____ ___Male ___ Female
Name______________________________________ DOB ___/___/_____ ___Male ___ Female
Name______________________________________ DOB ___/___/_____ ___Male ___ Female
2. How many adults live in the household including yourself? ________________________________
3. Do you have another household member that contributes financially to the household? Yes___ No__
Name________________________________________________Relationship to you______________________
4. Are there other people contributing financially to your household? Yes____ No____
Name__________________________________Address______________________Phone__________________
5. Are you eligible for the Voucher Day Care Program? Yes____ No____ Unknown____
Please first utilize the Voucher Day Care Program when applying for day camp or after school program
assistance.www.AmherstMaRec.org
Amherst Recreation
Page 2
Section B: Information About Your Need for Assistance
Directions: Choose ONE of the following three methods for us to verify your need for assistance:
Method A
Use previous year income tax figures from a completed or estimated IRS form 1040, 1040A or 1040EZ.
1. Number Exemptions:______________ 2. Adjusted Gross Income: $______________________
3. Please attach a copy of your most recent tax form to this application.
- OR -
Method B: Method C:
Answer the following and provide verification/documen- Answer the following and provide verification/documen-
tation for each source of income. tation for each source of income.
1. Income earned from employment (please 1. Child Support Received for all Children
provide at least 4 consecutive paystubs). $____________
You $____________ 2. Aid to Families with Dependent Children (AFDC)
$____________
Spouse/Partner $____________
3. Social Security/Pension Benefits
2. Annual Interest Income $____________ $____________
3. Dividend Income $____________ 4. SSI (Supplemental Security Income)
$____________
4. Alimony $____________
5. Food Stamp Benefits $____________
5. Unemployment Benefits $____________
6. Workers' Compensation $____________
6. Help from another $____________
7. Student Loans, Grants or Scholarships
7. Self-Employed Income $____________ $____________
(please attach financial statement for past 12 months)
8. Free or Reduced Lunch Free______ Reduced ____
8. Other Income (please specify)
_______________________ $____________ 9. Veteran's Services (State or Federal)
$____________
TOTAL INCOME $____________
10. Trust Funds, Annuities, or Settlements
$____________
TOTAL INCOME $____________
I verify that all information contained in this application is accurate and true to the best of my
knowledge and that this application reflects my household's true total income. I understand that
I am required to notify Amherst Recreation immediately of any changes that increase my total
household income.
Signature Datewww.AmherstMaRec.org Amherst Recreation
www.AmherstMaRec.org
Amherst Recreation
Town Facility Guide
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S H UT E S B
Town of Amherst
ND
LSSE Program Sites 1
ER
LA
ST
ND
63
BRID GE
RD
116 2 E S
T
URY
PIN
T
OW S
MEA D
413-259-3065 HE
www.amherstma.gov/lsse NR
Y
6
NT S T
ROU TE 11
ST
Facility Type
LE AS A
Libraries Town Facility
T
3
E AS T S
EA ST P
COM
4
MO
Recreation UMass Landmarks
NORTH
NW E
ALTH
5
STRONG
ST
Schools
ST NORTH PLEA SANT ST
6
AVE
P E L H AM
1
List of Facilities 7
Cherry Hill Golf Course 8
9 MAI N
ST PE LHAM RD
2 Mill River Recreation Area A MI TY
ST 10
COL LEGE ST
HADLEY
3 Totman Gymnasium
BE
LC
SOUTH PLEA SA NT
HE
4 Bowker Auditorium
RT
HARK NE
OW
11
N
5 Wildwood Elementary School
RD
SS R
6 12
Amherst Regional Middle School
9
SOUTH EAST ST
7 EY R
D
Amherst Regional High School HADL
EA ST
SH
AY
8 Community Field & S
ST
War Memorial Recreation Area 13
9 Bangs Community Center
116
14
10 Fort River Elementary School
11 Kiwanis Park
15
12 Groff Park
WE ST ST
13 Crocker Farm Elementary School
14 WE ST
Munson Memorial Library BAY R
D
15 BAY
RD
Plum Brook Athletic Fields
The Town of Amherst and its mapping contractors assume
no legal responsibility for the information contained herein.
Handicap
Facilities- Locations Amenities
Accessibility
Fields Bus Route Pools/Wader Playground Conservation Trails Bike Trails Access Pavilions Basketball Court Tennis Court Restrooms Picnic A
Amherst Regional High School x x x x x
Amherst Regional Middle School x x x x x
Bangs Community Center x x xPRSRT STD
Amherst Recreation U.S. Postage
PAID
170 Chestnut St., Suite 1 Permit No. 15
Amherst, MA 01002 Amherst, MA
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