2019 Park Program Registration
Please complete this form to register for the WVIS Tea House Park Program.
We are sorry but only 1 child per form can be accepted.
The 2019 Tea House Park Program fee for Wenham residents is now $300. All Wenham residents must be a WVIS member which requires a $50.00 payment for the annual dues.
The 2019 Tea House Park Program fee for Hamilton residents is now $350.00.
Upon completion of the form, please mail a check made payable to the WVIS for the appropriate amount to WVIS, PO Box 554, Wenham, MA, 01984. Please include a note with the campers name.
CHILDREN WHOSE APPLICATION COMES IN AFTER JUNE 17, 2018 , WILL NOT BE ALLOWED INTO CAMP UNTIL THEY HAVE RECEIVED NOTIFICATION FROM THE STAFF . This is for the safety of the children. Thank you for your understanding.
What grade will this child be entering in the Fall 2019?
Parent First Name:
Parent Last Name:
Secondary Email Address:
Street Address (Including the Town):
Emergency Contact Name
Emergency Contact Number
Do we have permission to share photos of your child?
Are you a WVIS Member?
Yes, I have paid my dues for 2019.
Yes, I am paying my dues with my summer program registration on a SEPARATE check ($50)
No, I am a Hamilton Resident
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service