Login

Town of Rye

ssumma@townofryeny.com

222 Grace Church Street, Suite 302, Port Chester , NY, 10573, US

914-939-3075

Document Signers
    • 1 Participant

SeamlessDocs

Thank you for joining Rye Town Park for the Open Water Swimming Program! Please read all the following information carefully.


Please complete and electronically sign the following form and Click 'Submit.' After you complete this form you can pay using Paypal. * Please note there will be a Convenience fee added. If you do not wish to use Paypal, you can simply enter your credit/debit card information without using Paypal.

You can also pay by check at Rye Town Park in the administration building during permit hours. The permit office is open Wednesdays through Sunday, 9am - 3pm.

For questions, please call Debbie Reisner at (914) 939-3553.

* Please Note * if you are filling this form out for a minor, print the form out to complete it. It will not be accepted electronically. And bring your payment to the administration building at Rye Town Park during permit office hours .

Thank you and happy swimming!
Please check that you agree before continuing.
By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.
Signature HereClick to Sign

Create Your Signature

Please fill in your name and email and then either draw or type your signature below.

x

Signature Type

Type Draw Upload Custom
Clear Signature

Signature will be applied to the page. You will have a chance to review after signing.

Check this box to continue

x

Additional Signatures Required