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Menu
HOME
COVID-19 INFORMATION
ABOUT US
Annual Reports
2016 Annual Report
2017 Annual Report
2018 Annual Report
Work With Us
Volunteer With Us
Programs
Main Site Programs
After School and Evening Programs
Supper Program
Innovation Credit Union Saturday Program
Husky Energy Youth Program
Non-School Days Program
Fee-For-Service Programs
Bready Before-and-After School Program
EMBM Before-and-After School Program
Holy Family After School Program
Summer Adventure Day Camps
Special Programs
2B Boys Program
Family Wellness Program
Hip Hop Dance Program
Hockey Program
Kid Food Nation
Lacrosse Program
Music Program
Project Backpack Program
Raise the Grade
Soccer Program
Take it EASY
Yoga Program
DONORS
Major Donors
Supporters
Building Donors
FORMS
2021 Membership Form
2020-2021 Raise the Grade Registration
2020-2021 Project Backpack Registration Form
2021 Volunteer Application Form
ANNUAL EVENTS
Gala
Race For Kids
Raise for Kids
CONTACT US
2020 Summer Adventure Day Camps Registration Form
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2020 Summer Adventure Day Camps Registration Form
MEMBER INFORMATION
Full Name
*
First
Last
Birth Date (Month/Day/Year)
*
Physical Address (If different from mailing address.)
Address Line 1
City
State / Province / Region
Postal Code
Mailing Address
*
Address Line 1
City
State / Province / Region
Postal Code
Gender
*
Boy
Girl
Non-binary
School
*
Health Card Number
*
Siblings Who Are Members
Background Information (Voluntary): To support BGCB in tracking progress, statistics, and applying for funding, please check if any of the below categories apply to you.
Immigrant
New Canadian
ESL (English Second Language)
First Nations
Metis
Country of Origin:
PARENT/GUARDIAN INFORMATION
Parent/Guardian #1 Name
*
First
Last
Relation to Member
*
Employer
*
Phone Number
*
Cell Number
*
Email
*
Parent/Guardian #2 Name
First
Last
Relation to Member
Employer
Phone Number
Cell Number
Email
EMERGENCY CONTACT INFORMATION
*Please provide two emergency contacts other than the parents/guardians listed above. *
Emergency Contact #1 Name
*
First
Last
Relation to Member
*
Phone Number
*
City of Residence
*
Emergency Contact #2 Name
*
First
Last
Relation to Member
*
Phone Number
*
City of Residence
*
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.
Select all those that apply.
*
Allergies
Medical
Learning/Behavioral
Other (Any additional information which may assist your child in positively participating in our programs.)
None of the above.
Allergies
Medical
Learning/Behavioural
Other (Any additional information which may assist your child in positively participating in our programs.)
CONTRACT AGREEMENT
Please indicate the week(s) you would like your child to participate in:
Week 1 July 6th-10th ($120)
Week 2 July 13th-17th ($120)
Week 3 July 20nd-24th ($120)
Week 4 July 27th-31st ($120)
Week 5 August 4th-7th ($100)
Week 6 August 10th-14th ($120)
Week 7 August 17th-21st ($120)
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.
Changes & Cancellation Agreement -NAME
*
First
Last
CUSTODY AND/OR COURT ORDER
Custody & Related Court Orders:
*
Not Applicable
See Below
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.
Please list anyone who is NOT ALLOWED to pick up your child (If applicable.):
Custody & Court Order Acknowledgement- NAME
*
First
Last
Date (m/d/y)
*
MEDIA CONSENT & RELEASE
Boys & Girls Clubs of The Battlefords has the right to use any artwork, photographs, video, and/or audio of my child while participating in Summer Adventure Day Camps activities for the purpose of advertisement and promotional campaigns in the future.
*
Yes, I agree.
No, I do not agree.
Media Consent & Release -NAME
*
First
Last
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:
• I understand that my child is being asked to abide by the rules of BGCB. Should my child not abide by these rules, I agree to work with the staff of BGCB to help resolve the situation.
*
• I understand that BGCB staff and volunteers will be supervising club activities and programs during the Summer Adventure Day Camps hours of operation, and that it is my responsibility as parent/guardian to ensure my child’s safety before and after the hours of operation.
*
• Although every effort is made to keep the children for the full length of Summer Adventure Day Camps hours, I understand that my child may leave the premises of BGCB at his/her own will, and that I will make every effort to communicate with my child when he/she is to leave BGCB.
*
• I understand that should my child not be picked up prior to the closing hours of BGCB, the staff may be in contact with authorities such as the Battlefords RCMP and/or Social Services.
*
• I agree that under no circumstances are BGCB staff members, volunteers or board members responsible for lost or stolen belongings.
*
• I understand that should any of the activities during Summer Adventure Day Camps occur away from the main site of BGCB, BGCB will provide transportation and separate permission forms will be required.
*
• With full knowledge of the existence and nature of my legal right and in consideration for the opportunities provided to my child by BGCB, I waive my legal right against BGCB, its staff, volunteers, or Board of Directors for any injury or damage suffered during or by reason of practicing, participating or assisting in a club service, program, or experience.
*
• I further authorize the application of emergency medical attention and undertake to be responsible for any hospitalization, medical, ambulance or other expenses.
*
Registration Agreement -NAME
*
First
Last
Registration Agreement- Date & Time
*
Date
Time
Message
Submit