May Activities Registration Form
Sign up for activities for the month of May here. Please fill out a separate form for each youth in your household. Each week we will send out information about materials pick up for the activities your youth has signed up for.

***Remember that you can go back and edit this form throughout the month- please let us know if your child can no longer participate in an activity. This will reduce our material and food waste that we've had because of no-shows***

Check our website (www.essexchips.org) to see our full programming schedule and email Nancy@essexchips.org with any questions.
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Email *
Parent or Guardian Name *
Name of Youth *
Grade *
Week 1 (May 1st- 7th)
Week 2 (May 10th- 14th)
Week 3 (May 17th-21st)
Week 4 (May 24th-31st)
To opt in for text reminders for activities your child is signed up for, provide your cell phone number below (If you have been getting texts from us you don't have to provide your number again).
Do you want more information about any of the following programs?
Do you give consent for us to feature photos taken over Zoom on our website and on social media? *
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