Medford Community Schools is offering their popular summer vacation camp at the Columbus

Elementary School with Director Anthony Petrelis and Staff. Your child will participate in a

number of activities from Sports, Games, Arts & Crafts, Movies, Swimming, and much more!

Doors Open/Drop-Off at 7:30

Doors Close/Pick-Up at 4:30

Now offering extended day hour till 5:30 - $15/hour or $50 for whole week

***Breakfast is provided everyday and Pizza Day is every Friday for lunch***

Summer Schedule

Week 1: June 30 – July 3

Week 2: July7 –11 EVENT DATES TBD

Week 3: July14 – 18 “Curious Creatures”

Week 4: July 21 – 25 Magic Jim Rainho

Week 5: July 28 – Aug 1 Police k-9 Unit

Week6: Aug 4-8 Annual Noreen O’connor

Week 7: Aug 11 – 15 Dodgeball Game

Week 8: Aug 18 –22 Tie-Dye T-Shirts

End of Yr. Carnival

Schedule subject to change

Every Friday – Weekly group Talent Show after Pizza and DJ Party.For

further information or to enroll, contact the Medford Community Schools office at

781-393-2380 or email summerfun@medford.k12.ma.us

Campers Need:

Sneakers

Sandals (for pool only)

Towel

Bathing Suit

Sunscreen

Snack

Lunch

Water Bottle Any medications - to be given by licensed EMT

****Price $135 per week****

For further information or to enroll, contact the Medford Community Schools office at 781-393-2380 or email summerfun@medford.k12.ma.us), or send check or money order to: Medford Community Schools, 489 Winthrop Street, Medford, MA 02155

Child's Name Age

Child's Name Age

Street Address

City, State, Zip

Home Phone Cell Phone

Parent's Name

Emergency Contact Phone

Email Address:

Check which week(s) you would like your child to attend:

Payment (s)Received Date

Week 1: June 30- Jul 3

Week 2: July 7-11

Week 3: July 14-18

Week 4: July 21-25

Week 5: Jul 28-Aug 1

Week 6: Aug 4-8

Week 7: Aug 11 - 15

Week 8: Aug 18 -22

I/We ___________________________________________________________________________

parent/guardian o f_________________________________________________________________,

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.

Signature __________________________________________________

Date ____________________________

Must be signed by a parent/guardian to participate