HEARTplay Special Events Registration
Thank you for your interest in a HEARTplay program Special Event. Please fill out the brief registration below. If you have more than one child/teen participating, please fill out a separate registration for each participant. Thank you!

Questions, contact: Jennifer Wiles, HEARTplay Director at 508-309-5107 (call/text) or jwiles@gscommunitycare.org.


Updated: 2/21/2023
Sign in to Google to save your progress. Learn more
Please select the HEARTplay Event you/the participant are registering for. *
You can choose one or more events, if applicable.
Required
Names of family members attending *
(include child(ren), teens, and adults caregivers as applicable)
t-shirt size for EACH PERSON attending? *
t-shirts are provided for CAMP HEARTplay programs only.
Required
I/my child(ren) are already registered for HEARTplay and our address and contact information has not changed. *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Good Shepherd Community Care. Report Abuse