1.Student Registration

First name of child

Last name of child

Email of parent

Child's date of birth

Is there anything you'd like us to know about your child to make the experience the best it can be?

Permission to ride the bus directly from Toy Town to The HUB

Yes my child is a student at Toy Town and has permission to ride the bus from school to the HUB

Please list the NAME of ADULT 1 authorized to pickup this child.

What is the relationship of ADULT 1 to the child?

Phone Number of ADULT 1

Please list the NAME of ADULT 2 authorized to pickup this child

What is the relationship of ADULT 2 to the child?

Phone Number of ADULT 2

Program participants will only be released at the scheduled program end time unless otherwise designated by the program or by parent/legal guardian. Please select how your child can check-out.

MEDICAL EMERGENCY AUTHORIZATION & HEALTH INFORMATION: In case of sudden illness or an accident requiring immediate treatment:

I authorize the HUB program leaders to take emergency medical and/or life saving actions as necessary to protect the health/wellbeing of my child.

Name of Emergency Contact (type ADULT 1 or 2 if same)

Emergency Contact relationship to child (type ADULT 1 or 2 if same)

Phone number of Emergency Contact (type ADULT 1 or 2 if same)

Please list any health conditions and dietary restrictions your child has

MEDIA POLICY/RELEASE: The HUB promotes programs involving minors through various media. In doing so, the photo/video and names of participants may be included to tell the story.

2.Event Policies

Winch Buddies After School Program March 2026

Apr 02, 2026, 3:10 PM – 5:00 PMThe Hub (The Winchendon CAC)

BOOK A PRIVATE EVENT OR PARTY @ THE HUB ...... BOOK A BOWLING LANE

! BOOK A BOWLING LANE OR PARTY - CLICK HERE ! BOOK A BOWLING LANE OR PARTY - CLICK HERE !

1.Student Registration

2.Event Policies

Winch Buddies After School Program March 2026