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West Seneca Youth & Recreation

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Department Information

Forms

Employee Documents/Resources

Acknowledgment of the Retirement System
Background Check Form
Independent Contractor Disclosure Form
Merit Increase Policy and Procedure for Part-Time Employees in White Collar Sector
Mileage Form for Employees
Office Supply Request Form
PO8
Request Off Form
Team Members Operations Manual
TWSNY Annual Disclosure Form 1-21

Patron Documents/Resources

Add a Pick Up Person - Last Minute If you need to add a pick up person last minute, please complete this form and send the original copy (no copies, faxed or emails accepted) with your child to the program.
Creating a Safe, Respectful, and Fun Program Environment
Guidelines for Political Activity at West Seneca Recreation Programs
Refund Form

Reporting Forms

Accident Incident - General
Accident Incident - Recreation
Auto Reporting Form
Employee Injury Reporting Form with AS notes from 10422 presentation
Workers Comp c2f (Internal Info: Gian.Giandomenico@usi.com. Medical Bills should be addressed to FutureComp, c/o Careworks, PO Box 14841, Lexington, KY 40512. Claim can be sent to Judy, Diane and Maryellen.Hetzer@usi.com).

Catalogs

Summer 2025

Facility Rental

CCL Use Request Form
CCL Youth Gym and Small Conference Room Application
Gym Rental Waiver
Information on Rentable Pavilions
Park Shelter Rental Application
Release and Hold Harmless Agreement (PP)

Pool

Diving Well Use & Test Information
ECDOH Pool Permit
Policies re Various Scenarios
Veterans Park Pool Rules
Veterans Park Pool Safety Plan Expires 5.1.26
Veterans Park Pool Service Animal Policy