Action Boys Summer 2024 Registration

This 6-week group program aims to strengthen healthy social-emotional skills and encourage healthy behaviors that support both mind and body wellness. Groups engage participants through interactive, physical, and fun activities with their peers!

Child's Name (one child per form please)*

First NameLast Name

Grade*

Incoming 4th graderIncoming 5th graderIncoming 6th grader

Parent's Name*

First NameLast Name

Parent's Email*

example@example.com

Parent's Cell Phone*

Please enter a valid phone number.

Emergency Contact Information*

Name

Relationship to child

Best number to call in an emergency

Please list the name, phone number and relationship, of those allowed to pick up your child.

Registration*

Action Boys ClubThursdays beginning July 11th, 3:00 - 5:30 pm

$ Free