9.l) Staff Report-Draft Spring Newsletter and Summer Recreation Brochure � �
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SCANDIA
Staff Renort
Date of Meeting: March 19, 2013
To: City Council
From: Kristina Handt, City Administrator
Re: Draft Spring Newsletter and Summer Rec Brochure
Agenda Item#: 9.1)
Background:
The City sends out two newsletters a year, one in April and one in October. We'd like to get the
April newsletter out around the first of the month. Therefore,the newsletter needs to get to the
printer as soon as possible after the Council meeting. The Spring Newsletter also contains the
Summer Rec Brochure.
Circulation is approximately 1,770, including about 500 newsletters mailed individually to
Scandia residents with Marine mailing addresses. The newsletter is also made available on the
city's website.
Issue:
Any changes the Council would like to see to the newsletter?
Proposal Details:
The newsletter includes articles on the Zavoral Mine,the Council, new staff, new fire engine
(subject to change after March 19t1'meeting),the farmers market, community events, and short
info about various city issues staff hears from the public on regularly. There will also be the
suinmer rec program insert.
Most of the summer rec programming remains the same this year. The geocaching class from last
year was discontinued due to a lack of interest. The new course this year is the Water Bonanza
for grades 2-5.
Options:
Identify changes, if any, you would like staff to make before sending the newsletter to the
printer.
A TR'IC�YEARLY
PUBLICATION � �
FOR RESIDENTS � \ � �
OF THE CITY OF � �� ��
SCANDIA,
MINNESOTA �� D�
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City Permits Approved for Zavoral Mine
With Conditions, Application Meets Requirements for Conditional Use
Permit and Annual Operating Permit
More than four years after the application was first submitted,the Scandia City Council voted to approve a
Conditional Use Permit(CUP)for the Zavoral Mine and Reclamation Project. Tiller Corporation, Inc.,
(Tiller)with o�ces located in Maple Grove, Minnesota, will operate a sand and gravel mine on the site of a
dormant,unreclaimed gravel mine(Zavoral Site)that is located along St.Croix Trail North (State Trunk
Highway[fH]95),a State Scenic Byway,near its intersection with TH 97 in the City of Scandia. Tiller will
mine and reclaim 64 acres of the I 14-acre Zavoral Site. Of the 64 acres proposed for mining and
reclamation,SS acres are located on portions of the Site that were previously disturbed by mining. Only
reclamation activities will occur within the St.Croix River District and USA Scenic Easement Areas.
The Council found that the criteria in ordinance were met for a CUP approval when 83 conditions were
Inside this issue• placed on the permit. The conditions involve monitoring groundwater,surface water,air quality,noise and
' tra�c;limiting hours and days of operation;reimbursing City costs incurred related to the Project;
completing reclamation activities;and other measures to protect the public welfare.The permit also includes
a condition that no mining of silica sand for industrial purposes("frac sand mining")shall be permitted at the
site.The hours of operation are limited to 7a.m.to 7p.m.,Monday through Thursday and 7a.m.to 2p.m.on
Meet Your New 2 Fridays,excluding federal holidays.
2013-2014 City
Council The Project is permitted to operate for 33 years beginning 30 days after all other permiu required before
the start of mining operations are obtained. Tiller will need to obtain a number of permits from other
New Office 2 agencies prior to the start of mining including the Minnesota Department of Transportation,Minnesota
Assistant Joins the Pollution Control Agency and the Carnelian-Marine-St.Croix Watershed District
City Staff
Also at the regular February Council meeting,an Annual Operating Permit(AOP)was approved which
New Fire Engine 2 contains 31 conditions,most providing further details on the monitoring to be completed during the year.
for Fire and City Code requires mining operations to submit an application for an AOP by January 31 of each year. The
Rescue conditions of the AOP are set each year by the City Council,typically in February or March.
"Heavy Metal 3 The last item approved by the Council at their February meeting related to the Zavoral Mine and
Day'is May 4th Reclamation Project was a Conditional Use Permit Compliance and Reclamation Agreement. This document
reiterated a number of conditions in the CUP and provides financial securities for reclamation and monitor-
ing activities related to the project.
Scandia Farmers 3
Market While the timeline for the start of mining operations is largely dependent upon the approval of other
permiu,Tiller hopes to begin operations by late summer or early fall this year The City will be focusing on
Short Takes 3 selecting consultants to complete the monitoring activities in the coming months.
Materials related to this project,are available for review at the City of Scandia Office, 14727 209th St.N.,
during office hours (9:00 a.m.to Noon and I:00 p.m.to 4:00 p.m.,Monday through Friday,except Tuesdays
open to 6:00 p.m.)and on the City's website http://www.ci.scandia.mn.us.Call Administrator Kristina Handt
Community 4 with quescions (651 433-2274.)
Calendar
Attention Meet Your 2013-2014 City Council
Lckeshore Since our fall newsletter,a new member has
been elected to the City Council.Dan Lee was
Residents... elected to a four year term on the Scandia city ` '•'��'
ry ,Y
Council in November 2012. Previously, Lee
served on the Scandia Parks and Recreation
Committee for a couple years.Chris Ness was
also elected to a four year term on the City
Council in November 2012. Ness had been
previously appointed to the Council in 2010 to
fill a vacancy.Prior to that Ness had served on
�
the Scandia Planning Commission.Mayor Randall . _
No grading,flling Simonson was elected to a second two year j
term for the Office of Mayor last fall. All three
or excovating near took the oath of o�ce on January 8,2013.
shore without Pictured from Left to Right Dan Lee,Chris Ness,
Lee,Ness and Simonson join Council members Randall Simonson, Sally Swanson and Jin Schneider
permits! Sally Swanson and Jim Schneider. In addition to
searching for more efficient ways to provide city services,the Council has prioritized economic
development for the next couple of years. Discussions have begun on forming an Economic
Development Authority.
Scandia Compost
Registry—Got lawn . . .
clippings, leaves, or Judi Negus Joins City Staff
brush and no where Tackling O�ce Duties and Recreation Programming
to put it? Looking ._ , , �, )udi Negus has taken on the newly combined role of office assistant and
for this type of yard � ��
� t , �1 recreation coordinator.When the two city positions became vacant last
waste for your �.`�`" �. ' fall,the Council decided to combine them in order to provide more
garden or farm? 1 ' ���'��d� efficient services to Ciq residenu. Negus had a background and inter-
Last summer the �� ` ' ':.�•�,,; est that aligned well with the two roles and began working for the City
City of Scandia �– i'��
-•r- i of Scandia in October 2012.
started a Compost ��'���,.<.
Registry. f ust Call Negus's background includes experience in both the public and private
City staff at 651-433 sector with considerable office support,organizational,and supervisory
-2274 and we'll play —skills.Negus previously worked for Silicon Graphics Inc.and Scott
County and currently teaches art classes with Watch Me Draw!in addi-
match maker. tion to her work for the City.Judi,along with her husband Rod and son
Sam,live in Scandia and enjoy a variety of sporting activities as well as
�„S volunteering at Scandia Elementary and Cub Scouu.
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` y New Fire Engine for Fire and Rescue Department
For months,the Ciq Council has been discussing the need to purchase a new fire engine to replace
Engine 5180 which was purchased in I 988 and is nearing the end of iu expected useful life. Engine
5180 is the second fire engine Scandia Fire and Rescue operates. In a rural community like Scandia,
where there is not a hydrant system,a second tanker and pumper truck is very important in meeting
, ,�, the water supply needs at a fire scene. Not replacing the second engine would not only impact the
;""�� level of service provided during a fire,but will also impact the City's ISO rating which could in turn
n impact property insurance premiums. In addition to supplying 1,500 gallons of water at the scene,this
engine also serves as a second medical rescue vehicle.
Fire and Rescue staff have been working to finalize the specs for a new engine that will meet the
needs of the community not only today but also for the next 25 years that the engine is in the com-
munity.The Council reviewed and questioned the options proposed by staff in March and approved
the purchase of a CustomFire Pumper for$344,952.98.
In order to minimize the impact to taxpayers,the Council will be pursing the refinancing of bonds
later this summer. It is anticipated that the savings from lower interest rates will offset most,if not
all,of the cost of issuing bonds for the purchase of the new fire engine.
.
��Heavy Meta1 Day" is Saturday, May 4
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In the mood for some spring hazardous waste. F�camples of Washington County Environ- ;
cleaning? "Heavr-Metal Dar', items accepted are:appliances, mental Center,4039 Cottage ; Dates to Remem6er
Scandia's annual spring clean-up, tires,furniture,mattresses, Grove Drive,Woodbury(corner ;
is scheduled for Saturday, Mar scrap metal and wood.There of Bailey Road&Cottage Grove, • ,
4 from 8:00 a.m.to I 1:00 will be a fee for some items. 4 miles south of I-94.)Call Wash- : Well Water :
a.m.in the Community Center The fee schedule is posted on ington County at 651 430-6655 TeStlrlg •
parking lot. the city website. or check their web site at ; Scandia Community .
Residenu may drop off items not Hazardous materials,electron- ��^'•co.washington.mn.us/ : Center
taken by your regular uash ics,and all other recyclables,are Publichealth. : Wednesday,May 8th
hauler,but NOT considered accepted year round at the : 3:00 p.m.to :
. 7:00 p.m.
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You Can't Buy Happiness But You Can Buy Loca1... : ; �� •
The City of Scandia will be museum parking lot,20880 `� : :
collaborating with the Gammel- Olinda Trail. The market is ^I • �
garden Museum again this currently seeking vendors who � :
summer to offer residenu and produce and sell vegetables, n : :
visitors a weekly Farmers fruiu,baked goods,planu, RM! ;
Market where they can flowers or crafts. Home-based �,- �A �a : Heavy Metal •
purchase fresh produce, honey, business owners are also �candiaP� : Day '
flowers,crafts and more. The welcome.Call judi Negus,Office . .
market will be held every Assistant at 651-433-2274 for ��R� : Scandia Community .
Wednesday from 4-7pm,start- more information. Vendor guide- ��,�� ' Satu day, May 4 '
ing June 12 and running through lines and registration forms are : ;
Se tember 25,2013.The also available on the city website . 8:00 a.m.to .
P . I I:00 a.m.
Market will be held in the (www.ci.scandia.mn.us) • :
: Farmers :
Short Takes : Market :
Gammelgarden ,
Si ns—Permiu are re uired Council Meetin s Stream : Parking Lot ;
S 9 8 leaves in the ditch is also illegal. • Wednesdays
for all signs,including temporary on the Web—Visit This causes ditches to fill up � June 12 through
signs for garage sales and com- www.latvten.com to access the �,�,�th sediment prematurely , Sept.25
munity evenu. There's no fee videos. Cable subscribers can
for temporary sign permiu. No watch the replays on cable resulting in poor drainage or . 4:00 p.m,to :
signs may be placed in any public channel 10. Contact LAN at even flooding. The decomposi- : 7:00 p.m.
righu-of-way,on any roof,or 651 464-I 143 with any ques- tion helps to accelerate the •
painted on walls or attached to tions. forming of algae in our lakes ' « '
S rin
utility poles. and rivers. Please dispose of . P g�
Burning Permits—A(no- Exterior Storage and Park- your leaves properly. , Ghicken .
charge)burning permit is re- �ng—Scandia requires that all Benefit
quired for open burning when Personal property be stored in a Landscaping in the Right-of � Fire Hall
there is no snow cover. In all building or fully screened,with a _yVar_Summer is right . Saturday,April 27 .
few exceptions for licensed
cases,please notify the Washing- around the corner and many ' 4:00 p.m,to
ton County Sher'iff's Office (651 �ehicles and recreation equip- People take this opportunity to : 8:00 p.m. .
439-9381)one hour before you ment. No more than four pas- landscape their yards. Before '
burn. There ma be restrictions senger vehicles per dwelling unit you do any work,make sure , P��to Fre Dept and .
Y are allowed on parcels less than that ou are not encroachin �ons Sc►wlorship Fund
depending on weather,time-of- Y S •
10 acres in size. No more than into the ri ht of wa Land- � '
day or air-quality issues. See the S Y• • -
2 recreational vehicles (such as sca in within the ri ht of wa '
city o�ce for more information P S S Y • •
and for permiu. campers,boau,trailers etc.) �s not permitted and you may ' "
may be stored in the side or be forced to return it to iu
Spring Load Limits—are in rear yard on any lot. original state. Don't waste . '
effect and are expected to last Disposing of Leaves—Did your time and money and '
for about 8 weeks after they you know that dumping their check with the City first. ' '
went into effect on March I 5. •• • . .............
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PRSRT STD
SC111\DLL� U.S.POSTAGE
PAID
Scandia,MN
55073
PERMIT#6
City of Scandia
Scandia Community/
Senior Center
14727 209th St. N.
Scandia, MN 55073
Household
Phone: 65 I 433-2274
Fax: 651 433-5112 Scandia, MN 55073
E-mai l:
mail@ci.scandia.mn.us
Hours: Mon.thru Fri.
9toNoon& I to4
(except Tues.open �
until 6) �t��
?,G � =�•
N��� ��s�d�� :�,—
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c�ty cou���i:
Randall Simonson, Maror
65 I.538.4320
Dan Lee
65 I.433.4309
Chris Ness
651 707-5689 Community Calendar, Apri12013—September, 2013
Jim Schneider
65 I 433-3692
Sally Swanson April • June-Sept.,4 p.m.-7 p.m.Wednesdays
651 433-3010 Scandia Farmers Market,Gammelgarden
• April 8,5 p.m. Board of Appeal and Equaliza-
tion,Communi Center Board Rm. )uly
Regular Council Meeting: LY
Third Tuesdar,7:00 p.m. • April 20,9a.m:I I a.m.Rain garden Workshop, • July 4, Independence Day,Office Closed
Council Work Session: Prairie Restorations August
Second Tuesdar,6:30 p.m. • April 27,4 p.m-8 p.m.Lions Chicken Dinner
Planning Commission: Benefit, Fire Hall • August 6,6 p.m.-7 p.m.National Night Out,
First Tuesdar,7:00 p.m. Ma Community Center
y • August 17,Spelmansstamma,Gammelgarden
City Staff: • Ma 4,8 a.m.to I I a.m.,Hea Metal Da ,
Kristina Handt, y � Y September
Community Center Parking Lot
Administrator � May 8,3p.m:7p.m.Well Water Testing • September 2,Labor Day,Office Closed
Brenda Eklund, Clinic,Community Center • September 6-7 Taco Daze Festival
Deputy Clerk � May 18,6 a.m.-12 p.m.PTO Fun Run • September 21-22 Ma�ine Art Fair
Colleen Firkus,Treasurer
Tim Kieffer,Maintenance • May 27,Memorial Day,Office Closed
Superintendent For more information and a ciry meeting calendar,see
June
Jim Finnegan, Fire Chief the website www.ci.scvndia.mn.us.
Nick Vivian Attorner • June 28, I p.m.-7 p.m.Bloodmobile at For Gammelg8rden events,see:
Eckberg Lammers Scandia,Community Center http://www.gammelgardenmuseum.org.
Phil Gravel,Engineer Stantec • June 22,Midsommar Dag,Gammelgarden
Sherri Buss, Planner,TKDA
� �
� .� �. '� Summer 2013
� � �
SC DjA Recreation P�ogYams
Welcome to the Summer 2013 recreation guide. We have new classes and also some past favorites to help Scandia
residents experience a fun-filled season of activities. Many activities for boys and girls will be offered in partnership
with Camp Lakamaga located on Big Marine Lake. Pre-registration for all programs is required. For updates on pro-
gram registration and more forms, check the City's web site (www.ci.scandia.mn.us.) For questions, please contac�t:
Judi Negus, Office Assistant, at 65 I-433-2274.
Outdoor Explorers Junior Explorers Tennis
Day Camp Day Camp Grudes K-6
Grades 1-S Grades K-3
Come out to Camp Lakamaga and Not ready to spend the whole day Each class includes individual and
have a great day camp experience! at camp? Then join us for a fun- group instruction designed to
We offer swimming, kayaking, and filled half-day experience at Camp match a player's skill level. For the
fishing, biking, archery, art and na- Lakamaga. Some of the activities younger players simple drills and
ture projects, adventure available include swim- games will teach players to handle
course, fitness course and � � ming, kayaking, fishing, ground strokes and volley with
more! Campers are pro- � � � biking, archery, art and partners. Older players will play in
vided lunch and snacks each nature projects, adven- single or double matches and work
day. ture course, fitness on consistency and strategies so
Min/Max Enrollment 5/20 course and more! players will be more efficient. Min/
Location• Camp Lakamaga Min/Max Enrollment 5/10 Max Enrollment 6/12
Time: 8:30 am. - 5:00 p.m. Location: Camp Lakamaga Location: Community Center
Days: Monday- Friday Time: 8:30 a.m. - Noon Days: Monday—Thursday
Gost: $I 40 per session Days: Monday- Friday Cost: $30 per session
Cost: $65 per session Session I —Grades K-2
Session I: June 24 -June 28 Time: 9:15 a.m. - 10:15 a.m.
*Deadline: June 14 Session I: june 24 -june 28
June 24—)une 27
*Deadline: June 14 *Deadline: June 17
Session 2: July 22 -july 26
'�Deadline: July I 2 Session 2• July 22 -July 26 Session 2 - Grades 3-6
*Deadline• July 12 Time: 10:30 a.m. - I 1:30 a.m.
Session 3: Aug I 2 -Aug I 6 � June 24 -June 27
*Deadline: Aug 2 Session 3• Aug I 2 -Aug I 6 *Deadline June 17
*Deadline: Aug 2 Session 3 - Grades K-2
Time: 9:15 a.m. - 10:15 a.m.
Aug 5 -Aug 8
, , �����������-fl��.�-.,.....,_..,_.._,�.._..__._... .__ _ *Deadline: July 29
IMPORTANT! Session 4 - Grades 3-6
Please register by the deadline date to avoid Time• I 0:30 a.m. - I I•30 a.m.
a a5late fee per session! Aug 5 -Aug 8 •
_ *Deadline: July 29
_ __
.
. � ■ � ■ � ■ � ■ � ■ � ■ � ■ � ■ � • � • � ' �
i Camp Lakamaga � Does your child need an
. . accommodation to their
� I 2303 Lakamaga Trail N., Marine on St. Croix MN � different abilities due to a handi-
, 55047 � cap? We will do ourbest to help
them participate in our pro-
� � 3 � grams. Please contact Judi
� a � 9; Beautiful Camp Lakamaga is located on � Negus at 651-433-2274
� 97 the shore of Big Marine Lake, and owned to discuss their specific •
� � and operated by the Girl Scouts of Min- � needs.
■ � 3 �Dd� nesota and Wisconsin River Valleys. •
� Boys and girls are welcome at all pro- �
� �,,,,,�... �u grams co-sponsored with the City of �
' Scandia. Camp Lakamaga asks all camp- '
,5 "` 3 ers to complete a short health history Cleat Kids
; form prior to the start of their activity. � Ages 4-6
4
■ •
� ■ � ■ � • � ■ � • � ■ � ■ � ■ � ■ � ■ � ■ �
Try your hand at a variety of
sports at the Community Center!
Pontoon Ride Little Tyke Archers Multiple sports will be offered dur-
Families Grades K-Z ing these high energy sessions.
This class will promote positive
teambuilding skills,good sports-
A ride for the whole family to Learn how to string a bow, shoot manship, and give your child a
enjoy! Come to Camp Lakamaga sense of confidence
arrows using different types of
on YOUR time and go out on a bows and stay safe in the sport. With our funda- , �
pontoon ride with picnic and Once you have the basics down, mental sports • 1
swimming/fishing. Cost includes have fun shooting at the targets to instruction by •
2 hours on pontoon, food, bever- see how many points you can Camp �
ages, and fishing equipment score! Dress for the outdoors ��maga staff.
(fishing license required if over and wear closed toed shoes. Please bring a water bot-
16). Call to schedule today! Parents who would also like to tle and come ready for some ex-
Location• Camp Lakamaga learn more about the sport of citement and fun!
Time• Evenings archery are welcome to register Min/Max Enrollment 5/I 5
Date: Call 65 I-433-4690 to and participate as well with your Location: Community Center
reserve your date/time child. Time: 9:30 a.m.— I I:00 a.m.
Cost• $I 5 per person Min/Max 3/I 0 Days: Monday-Thursday
� Cost: $45 per session
Location: Camp Lakamaga
Time: 9:00 a.m. - I I:00 a.m. Session I:June 17—June 20
Date:July 8 and 10 (M &V1� *Deadline: June 7
Cost: $I 2 per session Session 2:Aug 5 -Aug 8
� *Deadline: )une 28 *Deadline: July 26
��,,►�'
''�gean�
r�
�� • • • • • • • • • • • • • • • • • • • • • • • • ��
� • Gammelg$rden Museum
. Sccndia Farmers Market • will host Story Hour every
• � Wednesday from I 0:30 -I I:30 a.m.
• Be sure to check out the Scandia Farmers Market this year. The market •
�will be held on Wednesday nights from 4:00 pm to 7:00 pm at the Gammel- • �uly 10 to August 14). This is a
�garden Museum from June I 2 through September 25. Vendors will be � FREE activity that will also include
• games, crafts and music. Check
�selling produce, honey, salsa, crafts and much more! There will also be kids •
„ „ out their website at
•activities offered throughout the summer. Make sure you like the City of •
�Scandia on Facebook to keep up with the latest info about the market. • W�"N•Sammelgardenmuseum.org
• for more information.
�� • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • i
Robin Hood & Maid Water Bonanza
Marion Archers Grades 2-S Skateboarding Camp
Grades 3 - 6 Ages 7-12
Learn the basics and then further Are you a water This camp will focus on learning
explore the different types of lover? Come and new skills, safety and camaraderie.
bows. Practice shooting com- N EW experience the Each lesson includes instruction on
pound and traditional bows at dif- great waters of Big Marine Lake how to improve skills and can also
ferent distances. Master traditional from Camp Lakamaga where our cover specific tricks each skater
targets and take on some 3-D, life- staff will guide you through the wishes to learn. Bring a water bot-
like animal targets to hone skills basics and safety of canoeing, kay- tle and helmet, as well as a fully
and add a little fun! Dress for the aking, and swimming.You will also functional skateboard.
outdoors and wear closed toed get the chance to delve into some Min/Max Enrollment 5/20
shoes. Please arrive I 5 minutes fishing as you learn how to bait a
early to walk to the archery range. hook and catch some fish! It is an Location: Community Center
Parents who would also like to opportunity too good to miss! Time: 10:00 am - Noon
learn more about the sport of Min/Max Enrollment 5/25 Date:June I 7 -June 2 I (M - F)
archery are welcome to register Cost: $50
and participate as well with your Location: Camp Lakamaga *Deadline: june 10
child. Time: 9:00 am - I 1:30 am
Min/Max Enrollment 3/10 Date: July 29 and July 3 I
Cost: $I 5 per session
Location: Camp Lakamaga *Deadline: July I 9 Have a qreat idea for a new
Time: 9:00 a.m. - I I:00 a.m. clas:? We're looldng for
Date•July 30 &Aug I (T & Th) your ruggestions. Contact
Gost: $I 2 per session Judi Nequs at
651-433-22Y9 or
*Deadline: July 19 j.negus@ci.scandia.mn.us
Thnrsday Discovery Days
Ages S and up
Thursday is FUNday at Camp Lakamaga! Come with your special adult. Try Art Adventorer
swimming, arts and crafts, nature exploration, and other fun camp activities. Grades 1-4
Adults must attend with kids. Lunch is included.
Location: Camp Lakamaga
Time: 10:00 a.m. - 4:00 p.m. Calling all artists! Dabble in differ-
Dates: Thursdays 6/20, 6/27, 7/I I, 7/I 8, 7/25, 8/I, 8/8, 8/I 5, 8/22 ent mediums from paint to cray-
Cost: $I 5 per person per session ons, bracelets to beadwork, clay
Registration taken through Camp Lakamaga at and so much more! At this artistic
651-433-4690 or camps@girlscoutsrv.org session, you will create a colorful
or wacky work of art and learn
new art techniques. Please bring a
water bottle and come ready for
r �I some creative excitement and fun!
Park Geocaching Tour Min/Max Enrollment 5/10
IIExplore our beautiful Scandia parks with your GPS. Find a cache and II Location: Camp Lakamaga
find the prize! Start points and instructions are listed on the City of Time: 9:00 a.m. - I I:00 a.m.
IIScandia website (www.ci.scandia.mn.us). Caches will be stocked with II Date: July 9 and 10 (T&V1�
prizes throughout the summer. You supply your own GPS. Cost: $50 per session
L Deadline: June 21
J�
c� � ��2
�� -J- '� REGISTRATION FORM
SCANDIA 2013 City of Scandia Recreation Programs
General Instructions: Complete this registration form and return with payment (cash or check) by the registration
deadline to the City of Scandia, 14727 209�' Street North, Scandia, MN 55073. Enrollment is limited and pre-
registration for all activities is required. If a program fills, a limited wait-list may be available. Refunds will be issued if
the class is cancelled;you will be notified at least 3 business days prior to the class if there is a cancellation. Refunds
will not be issued for non-attendance unless your cancellation is received at least one week prior to the start of the
class. For classes indicating a grade level, register by the grade level your child completed in the 2012-
2013 school year. Additional registration forms are available at the city office or on our website:
www.ci.scandia.mn.us. Call judi Negus at the City Office at 65 I-433-2274 for further information.
AduldParent's Name:
Street Address: City/State Zip
Home Phone: Cell E-Mail
.. . .• -
Make checks paya6le to the"City of Scondia" Total:
Atknowledgements: I certify that the above information is true,accurate and complete. I understand that once I am a confirmed partici-
pant, I agree to the cancellation policy as stated above. I hereby give permission to the Ciq of Scandia and Girl Scouu MN River Valley(Camp
Lakamaga)to use photographs taken of ine or my child during these activities for promotional purposes.
Release: 1 recognize there is a significant element of risk in any sports and/or activity. Knowing the inherent risks,dangers and rigors involved,
I certify that I and/or my family(including any minor children)are fully capable of participating in the activities,and wish to do so as voluntary
participanu,and with such knowledge assume any and all risks while participating in the activities. In consideration of the City of Scandia and iu
partners,including Camp Lakamaga(collectively referred to herein as"the City of Scandia"),providing this program to me and/or my family and/
or legal wards,I hereby waive and release the Ciry of Scandia,and iu employees,agenu and volunteers,from all actions,claims and demands for
personal injury,including death,arising out of the conduct of the activities. I further agree that I shall not bring any claims,demands,legal actions
and causes of action against the City of Scandia,iu employees or agenu. This waiver of liability does not waive liability for any injuries that I ob-
tain as the result of willful,wanton or intentional misconduct by the City or any person acting on behalf of the City. This agreement shall be gov-
erned by and construed in accordance with the laws of the State of Minnesota. 1 have read,understand,and accept the terms and conditions
stated herein and acknowledge that this agreement shall be effective and binding upon me and/or my family and/or legal wards during the entire
period of participation in Scandia Park and Recreation activities.
Signature: Date:
Participant or if under 18,parent or legol guardian.
For City Use Only:
Date Received: Cancellation:
Poid: Refund: