RECREATIONAL PROGRAMS

Recreational programs are provided to school aged children within the Patchogue Medford School district to provide healthy after-school activities to keep them active and engaged socially in a supportive and safe environment. Activities include arts & crafts, cooking, guitar lessons, acting, dance, yoga, home work club and a drop in lounge. Check out our Facebook for a listing of current program offerings for Fall & Spring semesters as well as school and summer break programs.

Current programs include:

Drop-in Lounge for middle and high school aged youth
Craft class provided for elementary school aged youth
Cooking classes for elementary, middle and high school aged youth
Summer Fun Weeks: day camp for elementary school aged youth
Winter Fun & Spring Fun Weeks: recreational and educational activities provided to elementary school aged youth during winter and spring break recess.

*If you cannot register online via form below, you could print out a physical copy of the registration form to bring into the agency.

Registration Form

Recreational Program Registration Form

To register, please take the time to fill out the information below.

Please indicate the program you are registering for:

Child's First Name

Child's Last Name

Gender

Male

Female

Age

Grade

School

Address

Town

State

Zip

Race

Parent/Guardian Name(s)

Phone:

Address: If same as above leave blank

Town

Alternate Phone (cell or work): If you are unavailable during the program please list an emergency contact below:

Emergency Contact

Phone:

Medical Information

Does your child have any medical condition that may impair his/her ability to participate in recreational activities (including exercise)? If yes, please explain. If no, please write N/A.

Does your child have any food allergies? If so, please list. If no, please write N/A.

OtherInformation

Please list all names of individuals Patchogue-Medford Youth & Community Services, Inc has permission to release your child to:

Name

Relationship

Patchogue-Medford Youth & Community Services

HEALTH · SOCIAL SERVICES · RECREATION CENTER

SERVING FAMILIES AS A WHOLE