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FORMS
2021 Membership Form
2020-2021 Raise the Grade Registration
2020-2021 Project Backpack Registration Form
2021 Volunteer Application Form
2021 Summer Adventure Day Camps Registration Form
2021 Summer Adventure Day Camps Contract Amendment Form
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ANNUAL EVENTS
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Raise for Kids
CONTACT US
Menu
HOME
ABOUT US
Annual Reports
2016 Annual Report
2017 Annual Report
2018 Annual Report
COVID-19 INFORMATION
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
Satellite Site Programs
Bready Before-and-After School Program
EMBM Before-and-After School Program
Holy Family After School Program
Summer Programs
Summer Adventure Day Camps
Summer Parks Drop-in Programs
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
2021 Summer Adventure Day Camps Registration Form
2021 Summer Adventure Day Camps Contract Amendment Form
Newsletter Sign Up
ANNUAL EVENTS
Gala
Pink Shirt Day
Race For Kids
Raise for Kids
CONTACT US
2020 Project Backpack Registration Form
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2020-2021 Project Backpack Registration Form
Pick-Up: WEDNESDAYS from 3:00pm-7:00pm at the Club (1301-104 St. North Battleford)
Project Backpack will run from October 21, 2020 - June 16, 2020. Pick up will be located through the back gym doors (near the playground).
MEMBER INFORMATION
Member's Name
*
First
Last
Birthdate (month/date/year)
*
Physical Address
*
Address Line 1
City
State / Province / Region
Postal Code
Mailing Address
Address Line 1
City
State / Province / Region
Postal Code
Gender
*
Male
Female
Non-binary
School
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.
First Nations
Metis
Francophone
ESL (English Second Language)
New Canadian
Immigrant
Country of Origin
PARENT/GUARDIAN INFORMATION
Parent/Guardian #1 Name
*
First
Last
Relation to Member
*
Employer
*
Phone Number
*
Cell Number
*
Email Address
Parent/Guardian #2 Name
First
Last
Relation to Member
Employer
Phone Number
Cell Number
Email Address
HOUSEHOLD INFORMATION
How many adults are in the household?
*
How many children are in the household?
*
What are the names and ages of everyone in the household?
*
Does anyone in the household have any food allergies?
*
Yes
No
If yes, what are the food allergies?
MEDIA CONSENT & RELEASE
Boys & Girls Clubs of The Battlefords has the right to use any artwork, photographs, video and/or audio of myself, my child and any other members of my household while participating in club 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
Media Consent & Release -DATE (month/date/year)
*
PROJECT BACKPACK RULES AND ACKNOWLEDGEMENT
Parents/Guardians please read and agree to, by initialing beside, the following statements:
I understand that if I miss TWO pick-up dates within the school year I may be removed from the program.
*
I understand that I must inform Boys & Girls Clubs of The Battlefords if my phone number, address, or household information changes.
*
I understand that if I will be unable and/or away on a pick-up day I must contact BGCB.
*
I understand that there will be no delivery under any circumstances.
*
I understand that pick-up day is Wednesdays between 3:00pm-7:00pm.
*
Rules & Acknowledgement - NAME
*
First
Last
Rules & Acknowledgement -DATE
*
Submit
