Summer Program 2026 -Registration | North Haven Health & Racquet
1
Camper
2
Parents
3
Emergency
4
Weeks
5
Agreements
6
Review
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Camper Information

Tell us about the participant joining the program.

For each kid you will need a separate submission.

Please enter the camper's full name.
Please select a value.
Please enter the date of birth.
Please enter the street address.
Please enter the city.
Please enter the zip code.
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Parent Contact Information

A confirmation copy will be sent to Parent / Guardian #1's email address.

Parent / Guardian #1 *
Required.
Required.
Please enter a valid email.
Parent / Guardian #2 (optional)
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Emergency Contact Information

Provide at least one contact who can be reached if a parent is unavailable.

Emergency Contact #1 *
Required.
Required.
Required.
Emergency Contact #2 (recommended)
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Week Selection

Select the week(s) and session type(s) for your camper.

Week Num Week Starting Full Day 1/2 Day AM 1/2 Day PM
4th July
5th July
Please select at least one week/session and acknowledge July 4th & 5th.

Check all weeks and session types that apply. Full Day, 1/2 Day AM, and 1/2 Day PM may each be selected independently per week.

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Agreements & Consents

Please review and acknowledge the following before submitting.

Liability Waiver *
You must agree to the liability waiver to continue.
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Review & Submit

Please review all information below before submitting.

Camper Information

Nameโ€”
Sexโ€”
Date of Birthโ€”
Ageโ€”
Addressโ€”
Cityโ€”
Zip Codeโ€”

Parent Contact Information

Parent #1 Nameโ€”
Parent #1 Phoneโ€”
Parent #1 Addressโ€”
Parent #1 Cityโ€”
Parent #1 Zip Codeโ€”
Parent #1 Emailโ€”
Parent #2 Nameโ€”
Parent #2 Phoneโ€”
Parent #2 Addressโ€”
Parent #2 Cityโ€”
Parent #2 Zip Codeโ€”
Parent #2 Emailโ€”

Emergency Contact Information

Contact #1 Nameโ€”
Relationโ€”
Phoneโ€”
Contact #2 Nameโ€”
Relationโ€”
Phoneโ€”

Week Selection

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Agreements

Photo Releaseโ€”
Liability Waiverโ€”
Submission Date & Timeโ€”
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Registration Submitted!

Thank you for registering for the NHHR Summer Program 2026. A confirmation has been sent to Parent / Guardian #1's email and a copy has been forwarded to our team at northhavenclub@gmail.com.



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