SUMMER KIDS CLUB REGISTRATION
This program is for your child to spend a full day with the staff of the Winthrop Recreation Department, they will be able to choose to attend Arts and Crafts, Tennis, Pickleball, Pee Wee, and even Swim Lessons. Participants get a chance to have a variety of activities from playing in the gym, going to library, spending an afternoon on the beach. Breakfast and Lunch will be provided Monday thru Friday this year and is included in the cost.
Program is for any Boys and Girls grades 1 to 6. We are limited to 20 participants per day

LOCATION: Summer Kids Club will be based out of the Winthrop Grade School gym using the side entrance by the small, visitor parking lot. This location will provide ample opportunities in the event of inclement weather and it is also near the other summer recreation activities.

ACTIVITIES: Morning programming will be integrated in to the existing Summer Recreation Program which includes: Arts and Crafts, Tennis, Pickle Ball, and other Sports. Afternoon Activities will be schedule by the staff and overseen by the onsite Director. Programming will include: reading time, group activities, and playground play.

DAY FEE: This year we will offer a per day fee, so you can come for one or two days per week.
$30.00 for 1 day $130.00 for 5 days

Fees will be paid on Friday or your last day of participation for the week.

Child's First Name *
Your answer
Child's Last Name *
Your answer
Gender *
Grade in 2017-18 School Year *
Parents Name *
Your answer
Mailing Address *
Your answer
Phone # 1 (Best to reach at) *
Your answer
Phone # 2 (2nd choice) *
Your answer
Email 1 *
Your answer
Email 2
Your answer
How many days a week will your child be attending most of the time *
What time approximately do you anticipate dropping off your child ? *
Your answer
What time approximately do you anticipate picking up your child ? *
Your answer
If we run into bad weather is it ok for our staff to drive your child from the beach
What activities does your child enjoy ?
Your answer
PERMISSION and WAIVER *
I hereby grant permission for my son/daughter/legal dependent to participate in the following programs of the Winthrop Recreation Dept. I understand that there are some risks associated with participation in these programs, and understand that it is my responsibility to have adequate insurance to cover and injury directly or indirectly related to participation in a Winthrop Recreation Dept. Program. We do not have coverage for injuries related to our programs. I agree to hold harmless the Winthrop Recreation Dept, Winthrop Area YMCA, Town of Winthrop, and their staff, and program volunteers.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms