* Online Registration Form

PLEASE REGISTER TO HOLD YOUR SPOT FOR ALL PROGRAMS

NO REGISTRATION WILL BE COMPLETED WITHOUT PAYMENT
Avoid the additional convenience fee by dropping the payment off in person during business hours, placing it in the white dropbox at Town Hall at any time, or mailing it to Salem Town Hall, Salem Recreation, 270 Hartford Road, Salem, CT 06420 (payable to the Town of Salem). Click Here to Pay Online via Credit Card, Debit or Electronic Check (non-refundable convenience fee will apply for all credit/debit/e-check/online payments).

A fillable PDF of the registration form may be downloaded here.

CANCELLATION POLICY: No refunds will be given within two weeks prior to start of program if you choose not to participate in the program. A minimum of participants must be registered in order for the program to be held. Payment will be refunded if the program is canceled. Please note that the convenience fees for credit/debit/online payments will not be refunded. Classes may be canceled if minimum number of participants is not met.

Register for the following camps at the respective host sites:
ChessWizards Camp: chesswizards.com
TinyTykes or Half-Day Soccer Camp: bit.ly/challengersoccercamps
Skyhawks Sports Camps: skyhawks.com

Name / Adult *

Address *

Town *

E-mail Address *

Phone Number *

Best Form of Contact *

Emergency Contact: Name *

Emergency Contact: Telephone Number *

Participant Name *

Date of Birth, if applicable

Month

Day

Year

Grade, if applicable

Activity *

See above for links to register for TinyTykes and Half-Day Soccer, Skyhawks Sports, and Chess Wizards Camps

Other Activity not listed

Cost $

Non-Resident Fee *

TOTAL DUE * $

ASSUMPTION OF LIABILITY *

Plant Pioneers: Indoor Gardening, June 24-28, 9am-3pm, $300

Full Name (Signature of Participant or Parent/Guardian, if participant is under 18) *

By typing in your full name, you acknowledge and understand the Assumption of Liability as stated above.

Date

Month

Day

Year

Leave this field blank

About Salem

Quick Links

Government

Departments

Boards & Commissions

Education

* Online Registration Form