TheoDoss Kids Summer Class Registration 2026

Class Selection*

Full Day Classes (Kreyol, Art/Cooking & Dance) Summer Session$1,200

Childs First name*

Childs Last name*

Parent/Guardian Name

Parent/Guardian Phone

Parent/Guardian Email*

Childs Birthday

Month

Day

Year

Childs Home Address*

Childs Sex*

Male

Female

Health Insurance Provider*

Health Insurance Subscriber Number*

Physicians Name*

Physicians Phone Number*

Does your child take any medication?*

Yes

If yes, what medication does your child take and for what reason?

Do you accept TheoDoss staff to administer medication required for your child or tylenol, motrin?*

Yes

Only Tylenol or Motrin

Persons authorized to pick up your child. (First, Last Name and contact number). Please list all.

Upload a recent photo of your child*

Upload the Front of your childs insurance card.*

Upload the back of your childs insurance card.*

"I am happy for TheoDoss to share pictures of my child or children on their social media and in their newsletters."*

Media Release

Parent or Guardian signature. You are authorizing the participation of your child in the TheoDoss Summer Classes. *

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

WINTER HOURS

Monday - 9AM -6PM

Tuesday- 9AM -3PM

Wednesday- 9AM -6PM

Thursday- 9AM -3PM

Friday- 9AM -3PM

Saturday- 9AM-2PM

Sunday - CLOSED

623 Centre Street

Brockton, MA 02302

info@theodoss.com

(508) 545-7858

TheoDoss Multi Services & Investments LLC Certifications: MBE/WBE (Pending)

COMMBUYS ID: THEODOSS

NAICS: 541611, 611430, 541930, 541213

Service Area: Commonwealth of Massachusetts | Greater Brockton Area

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