Brighter City 2017 Registration

Thanks for your interest in Brighter City!

Complete this form to register your child(ren) ages 5-12 for Brighter City Summer Program.

We look forward to seeing you soon!

(If your child is entering Grade 7, 8 or 9 and is interested in serving in the JLC [Junior Leadership Crew], do not use this form. Instead, please have your child complete the online application form with your child here.) 

LAST GRADE COMPLETED
LAST GRADE COMPLETED
LAST GRADE COMPLETED

The Brighter City Summer Program is generously supported by donors and volunteers, enabling us to offer families in Boston this high-quality program at a fraction of the actual cost. We offer three different rates to fit families’ different financial abilities.

Please choose the rate that is most appropriate for your family.

NAME
NAME
My child/ren is/are covered by the following family medical insurance. Name of Insurance:

Please note: Persons not listed here will not be permitted to pick up your child.

Children's race/ethnicity:

Please mail your deposit of $20 per child per week to:
Forest Hills Covenant Church

455 Arborway

Jamaica Plain, MA 02130

 

OR 

Click here and select the Brighter City option to make your payment online.