Registration for Chalice Community Summer Program at First Parish in Malden (co-sponsored by the Melrose UU Church)

We are so excited to spend a week together with fun activities rooted in Unitarian Universalist values.

PLEASE NOTE: At this point, we are very close to full and cannot guarantee spots. Priority will be given to families affiliated with First Parish Malden or the Melrose UU Church. If you fill out this form and we need to put you on the waitlist, we will get in touch. Email Sara@fpmalden.org with any questions.
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BASICS:
August 19 - 23, 2024, 8:45 AM - 4 PM
First Parish in Malden (2 Elm Street, Malden, MA 02148)
Open to children ages 4 - 14
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SCHEDULE:
8:45 - 9:00 Student Drop Off
9:00 - 11:30 Morning Session
11:30 - 12:30 Packed Lunch
12:30 - 4:00 Afternoon Session
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COSTS:
We ask for a donation per child of $50 to $250 for the whole week, with discounts for siblings, being a member of First Parish or MUUC, and having an adult family member who can volunteer. The donation will pay for hiring staff and all program supplies. We encourage families to contribute what they can, but we are committed to financial accessibility and making sure every child who wants to can attend the program. Please email dre@fpmalden.org with questions and scholarship inquiries.
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Families are responsible for:
-Transportation to and from the program (we can provide a list of other families who might be interested in carpooling).
-Sending in a packed lunch
-Ensuring that your child is up to date on vaccines, including vaccination and boosters for Covid-19 (If you or your child are not vaccinated due to medical reasons, please email Sara at the email address below).
-Each morning before the program, please ensure that your child is fever-free and in good health. If there are any symptoms or concerns, please get in touch with staff to discuss.
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Should you have any questions or concerns, please email Sara at dre@fpmalden.org.

Registration for Chalice Community Summer Program at First Parish in Malden

Child's First Name

Child's Last Name

Pronouns

Birthday

Grade in the Fall 2024

All children should plan to attend for the full week, but families can elect full or half days. Which do you prefer?

Full Days (8:45-4) Half Days (8:45-12:30)

T-shirt Size (please be specific, such as 4T, Youth M, or Adult S)

Any important medical needs (dietary restrictions, allergies, accessibility needs)

Is there anything that we should know in order to support your child's success in this program? Are there any accommodations that would be helpful to make for this child? Please feel free to email any additional documents or information to Sara at dre@fpmalden.org. This information will be kept confidential.

Registration for a second child

If you are only registering one child, please skip this section.
If you have more than two children, please fill out a second form.

Second Child's First Name

Second Child's Last Name

Pronouns

Birthday

Grade in the Fall 2024

All children should plan to attend for the full week, but families can elect full or half days. Which do you prefer? Full Days (8:45-4) Half Days (8:45-12:30)

T-shirt Size (please be specific, such as 4T, Youth M, or Adult S)

Any important medical needs (dietary restrictions, allergies, accessibility needs)

Parent / Guardian Information

Your Name

Pronouns

Phone

This address will receive a confirmation email

Address

Send summer program info to you?

Yes No

If you would like to be on a list with other families to arrange carpooling, please check what information you'd feel comfortable sharing.

Your name Phone Email Street Address Town or City only Please don't include me.

How did you hear about this summer program? Please specify if you are a member of FP Malden or MUUC.

Additional Parents/Guardians/Caregivers

Name (First and Last) of second parent/guardian/caregiver

Pronouns

Phone (2nd adult)

Email (2nd adult)

Address (2nd adult) Please write "same" if there's only one address for the family.

Send summer program information to this person? Yes No

If you want to list a third parent/guardian/caregiver, or have any other information to share related to caregivers, please provide that information here.

Adult Volunteering

Are you or another adult in your family available and interested in volunteering at the summer program?

Yes, For the whole thing! Yes, Every morning (8:45-12:30) Yes, Every afternoon (12:30-4) Yes, 1-2 afternoons (12:30-4) Yes, I would like to teach a class. Yes, I would like to help out, but contact me to discuss details. No, I am not available to help at this time.

Which of the following roles appeal to you? Group Leader (every morning) Workshop Teacher (1-2 afternoons) Supporter (flexible schedule) Errands / Prep materials from home None of the Above

If you said yes, please clarify which adult is interested in volunteering?

Anything else you'd like to share about your skills, passions, and how you'd be excited to contribute?

Payment

We ask for a donation of $50 - $250 per child. Please use the information below to calculate your total payment per child:

Base Cost:
$150 ~ Members of First Parish in Malden or MUUC
$250 ~ Non-Members

Discounts:
* For a 2nd child, please take off $50 for a sibling discount.
* If you plan to come for half days only, please take off $50 for members and $100 for non-members.
* If you are able to volunteer 1-2 afternoons (12:30-4), please take off $50.
* If you are able to volunteer every day in the week for mornings (8:45-12:30) OR afternoons (12:30 - 4) OR all day, children can attend for free! (or whatever you want to donate)

Example of calculating the total cost:
2 children with a member adult who can volunteer 1x would be
$150 (first child) + $100 (second child with sibling discount) - $50 (volunteer discount) = $200

We are committed to including all families who will benefit from this program, regardless of their financial situation. If your family needs a scholarship beyond the minimum price of $50 per child, please email Sara@fpmalden.org

What is the total registration cost you will pay?

Permissions

Photo/Video Consent: I/We grant permission for a photo/video that includes my child(ren) without any other personal identifiers to be published in the following places:

Congregational Newsletter Website (www.FirstParishMalden.org) Website (Melrose UU Church) First Parish Malden Facebook / Instagram Page MUUC Social Media Other promotional materials such as posters or flyers NO PHOTOS/VIDEOS SHARED

As the parent or legal guardian of the child/ren listed above, I hereby consent for my child to go outside with program staff and/or volunteers. Write your full name here to act as your digital signature.

Today's Date

Optional

What are you most excited for your child to get out of this experience?

Any other information that you'd like to share to help your family have a great week at this program?

Any unanswered questions? Please list them here or email Sara at dre@fpmalden.org

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Registration for Chalice Community Summer Program at First Parish in Malden (co-sponsored by the Melrose UU Church)

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