Rec Registration Form | White Sand Beach Association

2024 WHITE SAND BEACH RECREATION PROGRAM

Make checks payable to “White Sand Beach Association” and please bring check to first day your child(ren) will be attending

	Weekly Rate	Two Weeks	Three Weeks	Four Weeks	Five Weeks	Six Weeks
ONE CHILD	$125	$225	$315	$395	$470	$540
TWO CHILDREN	$250	$350	$440	$520	$595	$665
THREE CHILDREN	$375	$475	$565	$645	$720	$790
FOUR CHILDREN	$500	$600	$690	$770	$845	$915

Parent or Guardian Name(Required)

First Last

WSB Address (House # and Street)(Required)

Street Address

Best Phone Number to Reach You(Required)

Are you a WSB Association Member?(Required)

Yes

I am renting a WSB home

Parent/Guardian Email(Required)

Emergency Contact(Required)

First Last

Emergency Contact Phone(Required)

# of Children Attending(Required)

Child 1 Information

Child 1 Name

First Last

Child 1 Date of Birth

MM slash DD slash YYYY

Child 1 Age

Child 1 Important Medical Information including any Allergies

Which Weeks Will This Child Attend?

July 7-11

July 14-18

July 21-25

July 28-August 1

August 4-8

August 11-15

Child 2 Information

Child 2 Name

First Last

Child 2 Date of Birth

MM slash DD slash YYYY

Child 2 Age

Child 2 Important Medical Information Including Any Allergies

Which Weeks Will This Child Attend?

July 7-11

July 14-18

July 21-25

July 28-August 1

August 4-8

August 11-15

Child 3 Information

Child 3 Name

First Last

Child 3 Date of Birth

MM slash DD slash YYYY

Child 3 Age

Child 3 Important Medical Information Including any Allergies

Child 4 Information

Child 4 Name

First Last

Child 4 Date of Birth

MM slash DD slash YYYY

Child 4 Age

Child 4 Important Medical Information Including Any Allergies

Which Weeks Will This Child Attend?

July 7-11

July 14-18

July 21-25

July 28-August 1

August 4-8

August 11-15

We ask All Families Attending Rec to Please Volunteer for at LEAST ONE Activity(Required)

Field Day Dinner & Raffle 8/16 PM

Field Day Races 8/16 AM

Bingo

Halloween

Ice Cream Social

Bonfire/Smore's

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