Rye Town Park 16+ Registration Form

Please review the park's rules with your teenager. By signing this form below, you and your child agree to abide by them.

Children under 16 years of age must at all times be accompanied by an adult who is responsible for their behavior while at the facility. Chaperones must be at least 25 years. Each chaperone may take responsibility for a maximum of four children
Beach and parking passes are not refundable

Parent's Information

Parent's Cell Phone Number

Parent's Email

Parent/ Guardian - Upload A Copy of Identification

Click Here to Upload

Upload an Image of You and Your Teenager

Click Here to Upload

Teenager's Information (16+ ONLY)

Teenager's Cell Phone Number

Teenager's Email

Teenager - Upload a stand alone picture of yourself

Click Here to Upload

Teenager - Upload A Copy of Identification to Verify Age is 16+ (Birth certificate, Passport, Etc.)

Click Here to Upload

Upon Arrival to Rye Town Park, Please Check in at the Administrative Office in the Tower Building to Confirm Receipt of This Form or Call Jose Oliveros (914) 967-1750

Parent's Signature

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.