Summer Fun Program

Thank you for your interest in Medford Summer Fun!

If you are in need of financial assistance to attend Summer Fun, please contact Program Director Anthony Petrelis apetrelis@medford.k12.ma.us

For registration or payment questions, please contact Roisin Hunt (rhunt@medford.k12.ma.us).

Are you a Medford resident?required

Medford resident

Not a Medford resident

Select desired week(s) required

Week 1: 6/30 - 7/3 (No July 4th) ($200.00)

Week 2: 7/7 - 7/11 ($250.00)

Week 3: 7/14 - 7/18 ($250.00)

Week 4: 7/21 - 7/25 ($250.00)

Week 5: 7/28 - 8/1 ($250.00)

Week 6: 8/4 - 8/8 ($250.00)

Select desired week(s) required

Week 1: 6/30 - 7/3 (No July 4th) ($240.00)

Week 2: 7/7 - 7/11 ($300.00)

Week 3: 7/14 - 7/18 ($300.00)

Week 4: 7/21 - 7/25 ($300.00)

Week 5: 7/28 - 8/1 ($300.00)

Week 6: 8/4 - 8/8 ($300.00)

Student Namerequired

First Name

Last Name

Agerequired

Rising Graderequired

You have selected "Other" for your school as a Medford Resident. Please write the name of the school below. Additionally, for students not currently enrolled in Medford Public Schools, please email a copy of their most recent physical exam and immunization records to MPS Director of Health Services Jennifer Silva (jsilva@medford.k12.ma.us).required

Addressrequired

Parent/Guardian Namerequired

First Name

Last Name

Parent/Guardian Phone Numberrequired

Email Addressrequired

Emergency Contact Namerequired

First Name

Last Name

Emergency Contact Phone Numberrequired

I/We _______________________________________ parent/guardian of___________________________________________, minor, do hereby consent to his/her participation in the Medford Community School Program and do forever release, acquit, discharge and covenant to hold harmless the City of Medford and its successors, employees, servants, and officers from any and all actions, causes of actions, and claims, demands, damages, costs, on account of, or in any way growing out of, directly or indirectly, all known and unknown personal injuries or property damage which I/We may have now or hereafter may have, including all claims or right of action for damages which said minor has or hereafter may acquire, either before or after reaching majority resulting from his/her participation in the Medford Community School Program and/or receiving medical attention as provided herein. Furthermore, I/We hereby agree to indemnify, reimburse or make good to the City of Medford or its successors, employees, agents, servants, and officers any loss or damage or costs, including attorney’s fees the city or its representatives may incur if any litigation arises from said minors intentional, gross negligent, or reckless acts or omissions while participating in said programs. I/We understand that this program involves physical activity and hereby state that to my/our knowledge such minor is in proper physical condition for participation in said program. I/We also agree to provide such minor with all the proper and required equipment to participate in such programs. In the event of an emergency requiring medical attention beyond first aid, I/We hereby grant permission to a physician or hospital personnel designated by the Medford Community Schools Program to attend to such minor. I have fully read and understand the terms of this release and waiver.

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