How to Register for Summer Day Camps

How to Register for Summer Day Camps
1. Confirm that your BGCOP membership is current (Not a member? It’s easy and only $20/year!
Membership application is available at any BGCOP location)
2. Update emergency contact information (below)
3. Complete Camp Registration (on back) and Parent Agreement (attached)
4. Complete Field Trip Permission Slip (attached)
Emergency Contact Information
Youth Name: ______________________
(First)
________________________
(Last)
New Member
Returning Member
Site _________
Date of Birth:__________________ Age:_________ Gender:
Other family members who attend the club:
_______________________________________
Yes
Youth lives with:
Both
Father
Female
Also attending summer camps?
Yes
No
_______________________________________
Mother
Male
No
Other:___________________
Primary Contact Information
Name: ______________________________________ Relationship:___________________________
Address:___________________________________________ City:____________________________
Home Phone:__________________ Cell Phone:___________________ Alternate:________________
Emergency Contacts (other than primary contact) - please list two:
Name: _______________________ Relationship:___________________ Phone: ________________
Name: _______________________ Relationship:___________________ Phone: ________________
Important medical information/allergies: _______________________________________________
__________________________________________________________________________________
Please mark each day camp your child plans to attend, under the appropriate age group. One registration form per child.
Cubs
Ages 6-8
Tigers
Ages 8-10
Adventurers
Ages 11-13
Theme Camps $85 per week
June 14
Summer Break Let’s Just Play
June 17-21
The Great Detective
June 24-28
Wilderness Survival Adventure
July 1-5 (Closed July 4)
Big Top Adventures
July 8-12
Pirates of the Caribbean
July 15-19
My Masterpiece
July 15-19
Tech Camp
July 22-26
Ocean Adventures
July 23-27
Under the Big Top
July 29-August 2
It’s a Jungle Out There
July 29– August 2
Jam Camp
August 5-9
Wet and Wild
August 12-16
Let’s Get Gooey
August 19-23
End of the Summer Blast
Sports Camps $95 per week
June 17-21
Basketball (Location: MVS)
June 24-28
Cheer (Location: MVS)
July 8-12
Soccer (Location: MVS)
July 22-26
Basketball (Location: MVS)
August 5-9
Flag Football (Location: MVS)
August 12-16
All-Sports Camp (Location: MVS)
Total # of Weeks:
Total Cost of Deposits:
Total Balance:
Deposit
Balance
Parent Agreement
Refunds
Refunds are not given for annual membership or Day Camp deposit fees. Refunds for program fees may be
requested if cancellation is given within a reasonable time to allow the Boys & Girls Club to invite another
member to take the place of the child(ren) for that specific program. Refunds will be allowed for any program in which we have to cancel. Please speak to the Day Camp Coordinator about applying for refunds. It
may take up to two weeks to process a refund after approval.
Billing Procedures
All Day Camp fees are assessed in advance on a weekly basis. A non-refundable deposit of $25 is required
in advance to reserve a child’s spot for each week of Day Camp. The remaining fees for the week are due
on the first day of member’s attendance for the week(s) reserved. Payments may be made in person at the
front desk, online at our website www.positiveplace4kids.org or mailed to our administration office. We accept cash, personal checks or credit cards (VISA, MasterCard, American Express).
Please be aware that we do not keep petty cash and therefore, staff members cannot make change for parents or members for any reason. If paying in cash, payments must be in the exact amount. Because we are
a non-profit organization, we are unable to extend credit for upcoming Day Camp sessions or fee based
programs.
Financial Assistance
A multi-child discount is available for families signing up more than one child for the Day Camp program.
This discount is $5 off the cost of each weekly camp.
Financial assistance is available on a case-by-case basis. If you would like to request financial assistance
for any/all weeks of day camp, please complete a Scholarship Application and submit income verification.
I have read and understand the parent agreement:
Printed name of parent/guardian:_____________________________________ Date:_____________
Signature of parent/guardian:__________________________________________________________
How did you hear about BGCOP Day Camps?
Flyer from child’s school
Flyer from another location:______________________
BGCOP website
Other Website: _______________________________
Club Staff/ Club Member
Other:_______________________________________
Thank you!