Afterschool Registration
Provincetown Recreation currently offers an in-person OUTDOOR afterschool Recreation Program. Children are separated by grade and participate in a variety of SAFE activities with their friends!

When: On weather permitting days Recreation will take place on Motta Field Monday-Thursday from 3 pm- 4:30pm


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Parent/Guardian Name: *
Child's Name: *
Child's Grade *
Address *
Cell Phone Number *
Email: *
Emergency Contact Information (Name,cell phone, email address, home/work phone): *
Please read this form carefully, by clicking yes on this permission form for my child to participate in Provincetown Recreation Department Afterschool program, I agree to the following conditions: -I give permission for my child to receive medical treatment in the event of injury while participating in this program.- I give the Recreation Department permission to take photographs of my children during the program for recreation promotional purposes.-In consideration of being allowed to use town facilities, I hereby agree not to hold the town of Provincetown, or its employees, or volunteers, liable for any personal injury or damage to   property, arising out of or in connection with the use of town recreational facilities.- I have read and agreed to the following rules and regulations provided below, and failure to do so could result in dismissal from the program. *
Required
Program Cancellation: Your registration and our program may need to be cancelled due to circumstances beyond our control. The Provincetown Recreation Department reserves the right to cancel the registration and program for any reason, including discretionary restrictions surrounding the COVID-19 pandemic. The Provincetown Recreation Department may cancel a program even if mandatory restrictions are not currently in place, if it judges in its sole discretion that holding the program would be impracticable or a risk to public health. In the event of a cancellation by the Provincetown Recreation Department, registration fees will be refunded in full. *
Required
Program Participation: Each program participant and/or parent of a program participant should fully and carefully consider the potential risks involved in participating in the program in light of the COVID-19 pandemic. The ultimate judgment regarding the propriety of any specific action must be made by each individual in consultation with their physician and in light of all the circumstances presented by the current pandemic. The Program will follow all applicable guidelines as to social distancing, occupancy, sanitation, etc. as fully as possible. However, the Provincetown Recreation Department assumes no responsibility for monitoring any program or guaranteeing compliance with any relevant recommendations. Adherence to applicable guidelines will not prevent the communication of disease, including COVID-19, in every situation. Each participant assumes all liability, and agrees to not hold the Provincetown Recreation Department accountable, for any liability resulting from attendee exposure to disease causing organisms and/or objects, such as COVID-19. If the participant cannot safely participate in the program while following social distancing recommendations, the participant should not register for the program. All participants must be healthy in order to participate in and/or attend any program sponsored by the Provincetown Recreation Department. *
Required
Virtual Program Participation:As mentioned in the Fall 2020 Afterschool Parent Handbook, the Recreation Department will offer a virtual after school program opportunity in the event of inclement weather and other reasons cancellation may occur. By signing the line below you agree to the following terms:-In consideration of being allowed to use other online programs, I hereby agree not to hold the town of Provincetown, or its employees, or volunteers, liable for any issues, arising out of or in connection with the use of other online programs/websites.-I fully understand that my child will be expected to abide by the rules of the Virtual Recreation Department program, and that unacceptable behavior may result in suspension from the virtual program.- I have fully read and accepted the terms and conditions of the Zoom platform and that my child will be expected to abide by the rules. *
Required
I fully understand that I will be expected to pay $50.00 per child upon completion of this registration. Payments can be made here: https://www.invoicecloud.com/portal/(S(cv00d5ls0zu4u0betox2ussp))/2/Site.aspx?G=f137e649-5299-4e2a-a8ee-4b3878015c35 *
Required
Afterschool Health Registration Form
The safety of our community and program is our overriding priority. As the coronavirus (COVID-19) pandemic continues,we are monitoring the situation closely and following the guidance from the Centers for Disease Control and Prevention and local health authorities. In order to prevent the spread of the coronavirus and reduce the potential risk of exposure to our program, we are asking everyone to complete and submit this questionnaire upon completion of your child's registration.

Please respond to each of the following questions truthfully and to the best of your ability. Your participation is important to help us take precautionary measures to protect your child, other children and our employees.


Is your child or anyone in your family currently experiencing, or has experienced in the past 14 days, any of the following symptoms? If so please check all that apply. (Please take your child's and other family members' temperature before you answer this question.) *
Required
In the past 14 days, has your child or any members of the family  been in close proximity to anyone who was experiencing any of the above symptoms or has experienced any of the above symptoms since contact? *
Required
In the past 14 days, has your child or family been in close proximity to anyone who has tested positive for COVID-19? *
Required
Has your child or any family members tested positive for COVID-19, or are presumptive positive for COVID-19 based on your health care provider’s assessment or your symptoms? NOTE: If your child or family members have tested positive for COVID-19 or have been presumptively positive for COVID-19 based on your health care provider’s assessment or  symptoms, please contact the Recreation Director if  (1) your child and family members have had no fever for at least 72 hours (3 full days), without the use of fever-reducing medications; (2) other symptoms have improved; and at least 7 days have elapsed since your child's/family members symptoms first appeared. *
Required
In the past 14 days, has your child or any family members been on a commercial flight or traveled outside of the United States? *
Required
In the past 14 days, has your child or other family members been in close proximity to anyone who has been on a commercial flight or traveled outside of the United States? *
Required
Is there any reason why you feel your child is  at higher risk of contracting COVID-19 or experiencing complications from COVID-19 by participating in the recreation program? If “yes”, please provide a brief explanation. *
I hereby certify that the responses provided above are true and accurate to the best of my knowledge. *
Required
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