Circle Playtime Registration 2025-26

Dear New and Returning Parents:

Welcome to Circle Playtime, a free monthly drop-in program for 2-5 year olds and their caregivers on Sundays! And welcome to our Workers Circle community!

Parent/Guardian Contact Information

Parent/Guardian #1 Contact Information

Parent/Guardian #1 First Name

Parent/Guardian #1 Last Name

Parent/Guardian #1 Email Address

Parent/Guardian #1 Cell Phone

Would you like to include the information for an additional parent/guardian to attend Circle Playtime with your child(ren)?

YesNo

Parent/Guardian #2 Contact Information

Parent/Guardian #2 First Name

Parent/Guardian #2 Last Name

Parent/Guardian #2 Email Address

Parent/Guardian #2 Cell Phone

Registration

Child #1 Information

Child #1 First Name

Child #1 Last Name

Child #1 Birth Year

Child #2 Information

Child #2 First Name

Child #2 Last Name

Child #2 Birth Year

Photo/Video Permission

I/we hereby grant permission to Boston Workers Circle to use photos or video of my child(ren) and/or me/us, in printed or electronic materials (including our member newsletter, website, facebook/instagram, and live streams).

When photos are posted and/or used, no names or other identifying information is included. With this in mind, we ask that all families opt-in at this time.

YesNo

Additional Questions or Comments

Is there anything we should know about you or your child(ren) that would make this space accessible to you?

Registration Counter

Circle Playtime is a free program. Voluntary donations help us keep the program running.

Yes, I'd like to donate.No, not at this time.

Optional Donation

Donation Amount

Please type a number without the dollar sign ($).

Credit Card Information

Name on Card

Billing Email

Billing ZIP Code

Credit Card Number

CVV

Expiration Month (MM)

Expiration Year (YYYY)