Kids Day Camp Registration

Please fill out this form for each child you wish to register for Kids Day Camp.

Child's Name *
Child's Name
Please select your child's age as of July 16, 2018
Please select the grade your child is going into (if applicable)
Parent/Guardian Name *
Parent/Guardian Name
Phone *
Address *
Photo/Video Release
Medical Release *
Check All That Apply

July 16-19 | 9am-12pm
475 Burncoat Street
Worcester, MA 01606