2020 WSCS Drop-In Summer Program
July 6 - August 21 1:30 - 5PM Monday - Friday
Please fill out the information below to register your child for our 2020 summer afternoon youth program. Only children ages 7 - 14 will be allowed to register. We will allow children to enter the building on a first-come/first-served basis each day until we reach our daily limit of 30 youth.

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Child First Name *
Child Last Name *
Child DOB *
MM
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DD
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YYYY
Address *
City *
Parent/Guardian #1 Name *
Parent/Guardian #1 Phone Number *
Parent/Guardian #2 Name
Parent/Guardian #2 Phone Number
Emergency Contact #2 Name and Phone Number *
Who does the child live with? *
Are you also registering a sibling today ("yes" "no")? If yes, please list the names of all siblings and complete a separate form for each sibling. Yes!
Does your child have any allergies or medical conditions we should know about? Please write "no" if no allergies or medical conditions. No *
Does your child have any learning or behavioral challenges that we should know about? Please write "no" if no learning or behavioral challenges. No *
Do you give consent to allow your child to attend walking field trips to area parks, attractions or activities? Please type "yes" if you give consent or "no" if you do not give consent. Yes *
Staff often take photos or videos of children in our programs to use for internal, grant reporting or promotional purposes. Do you give consent for your child to be photographed or videotaped?  Please type "yes" or "no". Yes *
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