Mom and Kids Summer Rec Program
This form is for us to get to know you and the little one(s) you'll be bringing along.This program is Free! Drop-in Saturdays, 11:30 AM - 2:30 PM at 503 Hanson St. & afield!
Name
First Name
Last Name
E-mail
Phone Number
Name and Age of Child
Name and Age of Child
Name and Age of Child
Name and Age of Child
Allergies and Dietary Restrictions/Other Information
Accommodation Needs
I understand that when I attend that I am responsible for my own child/ren for each activity that I am present to.
Yes
Submit
Should be Empty: