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 *
Phone
Address *
Address
Photo/Video Release
Medical Release *
Check All That Apply
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July 16-19 | 9am-12pm
475 Burncoat Street
Worcester, MA 01606