2020 Summer Adventure Day Camps Registration Form

MEMBER INFORMATION

PARENT/GUARDIAN INFORMATION

EMERGENCY CONTACT INFORMATION

*Please provide two emergency contacts other than the parents/guardians listed above. *

MEDICAL INFORMATION

Does your child have any needs/requirements in the following areas? If yes, please explain further. If applicable, please indicate any diagnoses and medications that they are taking.

CONTRACT AGREEMENT

Please indicate the week(s) you would like your child to participate in:

CAMP DETAILS

Hours of Operations: Monday-Friday 7:45am-5:30pm

We are pleased to announce that again this year, we will be offering our Lunch Program FREE OF CHARGE! Along with a meal, participants will receive a morning & afternoon snack daily. Our extended hours (7:45am-8:30am and 4:30pm-5:30pm) are also being offered again this year FREE OF CHARGE! To adhere to provincial guidelines, there will be a limit of 15 children accepted per week due to COVID-19. Unfortunately, this means that we will only be accepting the first 15 registrations (both forms and payments must be received) and cannot guarantee that there will be space remaining. There will be a cancellation list in case someone is not able to attend their chosen week, in which case we will be in contact with parents/guardians in the order that registrations were received.

PAYMENTS

Our weekly rate is $120.

*Although we will see increased costs to operate, this year we are offering our Summer Adventure Day Camps at a slightly reduced weekly rate of $120.00. We made this decision knowing the financial impact COVID-19 has had on many, combined with the fact we have cancelled our weekly field trips. * Please note, the fee for Week 5 (August 4th - 7th) will be $100.00 due to the stat holiday.

Payment is due IN FULL UPON REGISTERING for our Summer Adventure Day Camps. If we do not receive the full payment upon registration, we cannot guarantee that a space will be available for your child.

Payment methods: Given our COVID-19 procedures, we would like to encourage the use of e-transfers. E-transfers can be sent to ac.bcgb@stnemyap . Please include the child’s full name in the memo section. BGCB is set up for automatic deposit of e-transfers which means no password is required. When e-transfer is not available, the other forms of payment accepted at the office are: cash, debit or credit.

CHANGES AND CANCELLATION POLICY

By signing this agreement, you are committing to this contract for the 2020 Summer Adventure Day Camps. Families are required to provide ONE WEEK’S NOTICE for any changes to this agreement in writing by completing a Contract Amendment Form. ALL CHANGES/CANCELLATIONS MUST BE SUBMITTED PRIOR TO 12:00pm (NOON) MONDAY OF THE WEEK PRIOR TO THE CHANGES BEING REQUESTED. Please contact the office to request this form or visit our website (www.bgcbattlefords.ca). Refunds will be issued on August 24, 2020 only if required notice has been received.

CUSTODY AND/OR COURT ORDER

If a custody or court order exists, a copy of the order must be given to Boys & Girls Clubs of The Battlefords. The parent/guardian is responsible for providing accurate and up to date information concerning the legal guardianship of the child. Without a custody or court order on file, Boys & Girls Clubs of The Battlefords cannot deny access to the non-enrolling parent.

MEDIA CONSENT & RELEASE

REGISTRATION AGREEMENT

Parents/Guardians: Please review these guidelines/rules with your child. If you want to participate in Boys & Girls Clubs of The Battlefords (BGCB) Summer Adventure Day Camps and enjoy the activities they have planned, you have to agree to respect the staff, volunteers, and the other children. YOU MUST UNDERSTAND THAT BGCB IS A SAFE PLACE FOR ALL CHILDREN, AND IF YOU ACT IN A WAY THAT MAKES SOMEONE FEEL UNSAFE, YOU WILL BE ASKED TO LEAVE. You will follow the rules set by the staff. You also understand that if you do not follow these rules, you may lose your privileges as a result and may not be able to return to Summer Adventure Day Camps in the future.

Parents/Guardians please read and agree to, by initialing beside, the following statements: