HomeMy Public PortalAboutPequossette and Kindergarten Registration Form 2017PEQUOSSETTE SUMMER RECREATION PROGRAM REGISTRATION 2017
Grades 1 through 8
149 Main St, Watertown, MA 02472
Fax: (617) 926-6129 • Phone: (617) 972-6494
www.watertown-ma.gov • recreation@watertown-ma.gov
The Watertown Recreation Department will be offering the Pequossette Summer Program for children
entering grades 1 through 8 in September 2017. The program starts on June 27th and runs through August
18th.
The online registration and payment system will be available beginning Saturday April 8, 2017. Go to
www.watertown-ma.gov and click "Online Payments." Please note online registrations require you to enroll
on a weekly basis. All tuition fees must be paid a full 10 days prior to the week your child is attending.
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INFORMATION (Please Print)
Child's Name:
School:
Age: DOB:
Grade (Fall '17):
Shirt Size:
Gender:
Home Address:
Town: Zip:
Guardian Name:
Phone: E -Mail:
Guardian #2 Name:
Phone: E -Mail:
Please specify primary and secondary contacts (not guardians) in case of an emergency.
Primary Name:
Relationship:
Day Phone:
Cell Phone:
Secondary Name:
Relationship:
Day Phone:
Cell Phone:
Date
Regular Session
Early Drop Session
Extended Day
Totals
8:45 — 2:30
7:30 - 8:45
2:30 - 5:30
Week 1
(4 days)
Resident
$100.00
Non -Resident
$140.00
Resident
$30.00
Non -Resident
$35.00
Resident
$60.00
Non -Resident
$70.00
6/27 — 6/30
Week 2
(4 days)
Resident
$100.00
Non -Resident
$140.00
Resident
$30.00
Non -Resident
$35.00
Resident
$60.00
Non -Resident
$70.00
7/3 — 7/7
Week 3 — 8
(5 days)
Resident
$125.00
Non -Resident
$170.00
Resident
$35.00
Non -Resident
$45.00
Resident
$75.00
Non -Resident
$85.00
7/10 — 7/14
7/17 — 7/21
7/24 — 7/28
7/31 — 8/4
8/7 — 8/11
8/14 — 8/18
Total
A $25.00 non refundable deposit is required per week per participant when registering; complete payment is due 10
days before the program begins. All checks must be made payable to "Town of Watertown." Please mail to:
Watertown Recreation Depat ltuent - 149 Main Street - Watertown, MA 02472.
Guardian Signature:
Date:
KINDERGARTEN SUMMER RECREATION PROGRAM REGISTRATION 2017
Child must be entering a formal Kindergarten Program in fall 2017
149 Main St, Watertown, MA 02472
Fax: (617) 926-6129 • Phone: (617) 972-6494
www.watertown-ma.gov • recreation@watertown-ma.gov
The Watertown Recreation Department will be offering the Kindergarten Summer Program for children who
are entering kindergarten in September 2017. The program starts on June 27th and runs through August 18tH
The online registration and payment system will be available beginning Saturday, April 8, 2017. Go to
www.watertown-ma.gov and click Online Payments. Please note online registrations require you to enroll
on a weekly basis. All tuition fees must be paid a full 10 days prior to the week your child is attending.
INFORMATION (Please Print)
Child's Name:
Age: DOB: Gender:
School:
Grade (Fall '17): Shirt Size:
Home Address:
Town: Zip:
Guardian Name:
Phone: E -Mail:
Guardian #2 Name:
Phone: E -Mail:
Please specify primary and secondary contacts (not guardians) in case of an emergency.
Primary Name:
Relationship:
Day Phone:
Cell Phone:
Secondary Name:
Relationship:
Day Phone:
Cell Phone:
Date
Regular Session
Early Drop Session
Extended Day
Totals
8:45 — 2:30
7:30 - 8:45
2:30 - 5:30
Week 1
(4 days)
Resident
$100.00
Non -Resident
$140.00
Resident
$30.00
Non -Resident
$35.00
Resident
$60.00
Non -Resident
$70.00
6/26 — 6/30
Week 2
(4 days)
Resident
$100.00
Non -Resident
$140.00
Resident
$30.00
Non -Resident
$35.00
Resident
$60.00
Non -Resident
$70.00
7/3 — 7/7
Week 3-8
(5 days)
Resident
$125.00
Non -Resident
$170.00
Resident
$35.00
Non -Resident
$45.00
Resident
$75.00
Non -Resident
$85.00
7/10 — 7/14
7/17 — 7/21
7/24 — 7/28
7/31 — 8/4
8/7 — 8/11
8/14 — 8/18
Total
A $25.00 non refundable deposit is required per week per participant when registering; complete payment is due 10
days before the program begins. All checks must be made payable to "Town of Watertown." Please mail to:
Watertown Recreation Depat liuent - 149 Main Street - Watertown, MA 02472.
Guardian Signature:
Date: