Uptown Games

School Registration Form

The fourth annual Uptown Games will be held on Saturday, March 28th, 2015 from 11:00am to
3:30pm (registration begins at 10:00am). It is open to all students in the 3 rd 8th grades who live in
or attend school in District 6 in West Harlem, Washington Heights, and Inwood. Please complete the
information below to register your school. We will be providing individual registration & waiver
forms for each child.

School Name:

_____________________________________________________
_________________________ PS / IS #: ___________________

School Address: ____________________________________________________

____________________________________________________
Team Coach/
Best Contact:

____________________________________________________

Best Phone:

_________________

e-mail: ___________________________

Does your school currently have a track team?

yes no

Estimated number of students participating

in the Uptown Games?
___________________________________________
Please return this information to the office of NYS Senator Adriano Espaillat:
5030 Broadway, room #701
Attn: David Baily
New York, NY 10034
You may also send by e-mail to eventsRSVP@adrianoespaillat.org, or fax to 212-544-0256.
For more information, please call David Baily at (212) 544-0173.

Senator
Adriano Espaillat