Program Description

The mission of the Town of Poolesville’s Stevens Park Summer Recreation Program is to provide community youth with a safe, fun, and inclusive environment to develop and enhance social skills and physical abilities.

Poolesville's Stevens Park Summer Recreation Program aims to foster creativity, promote self-confidence, teach resiliency, and encourage independence and group interaction while helping children discover unique interests through learning and adventure.

Forms

To register for the Stevens Park Summer Recreation Program you need to fill out all of the required forms listed below. You can fill out the forms either through the web form or as a PDF. The rate for the Summer Program is a flat fee of $110 per child and $90 for additional siblings if you live in the following zip codes, 20837, 20838, 20839, 20841, 20842. For children out of those zip codes the rate is $275. You can pay the fee by via credit card or a check at Town Hall or day of at the camp.  

Required Forms 

Camp Registration

2023 Camp Registration (Web Form)

Parent Acknowledgment Form

Parent Acknowledgment (Web Form)

Camper Health History Form

Camper Health History Form (Web Form)

Pick Up Authorization Form

Authorized Pick-up Form (Web Form) 

Authorized Pick-up Form (pdf)

Additional Forms