• 2020-21 Membership Form

  • Member's Personal Information

  • School Release Information: I understand that as a partner of the St. Lucie County School Board, the Boys & Girls Clubs of St. Lucie County will obtain academic information to better serve my child’s academic needs. I give permission for the Boys & Girls Clubs of St. Lucie County to access my child's academic school records:

  • Medical Information

  • Release of Child/Emergency/Authorized Pick-up/ Contact Information

  • Additional Contacts and Authorized Pick-up List

  • Household Information: (This information is used for Grant writing purposes)

  • TERMS & CONDITIONS: Please initial that you have read each paragraph.

  • Open Door Policy

  • Boys & Girls Clubs of St.Lucie County offers an open door policy for children 13 years and older which means that members can sign themselves out of the Club to go home. If you grant your child permission to sign him/herself out to go home, you fully understand that your child may not return to the Club until the next day. You are also stating that you understand that your child is not being supervised during their time away.

     

  • We are counting on you as the parent/guardian to have a relationship with your child whereby your child respects your wishes and will stay at the Club for the hours you say so. Again, we maintain an open-door policy for children 13 years and older.

  • Membership Agreement

  • I, _______________________________(PRlNT)do hereby give my son/daughter permission to attend and participate in ac­tivities sponsored by the Boys & Girls Clubs, including the "SMART' family of prevention programs and release Boys & Girls Clubs of St. Lucie County, Inc., its employees, directors, associates, and contributors from injury, loss or theft incurred by my child while participating. I further understand that the information provided here may be used by funders of this program (i.e. Boys & Girls Clubs of America, Chil­dren Services Council) for research purposes or to evaluate the program's effectiveness. All information provided on this form will be kept confidential. My signature indicates that I completed this application and understand the statements made within.

  • Clear
  •  /  /
    Pick a Date
  • Boys & Girls Clubs of St. Lucie County is taking the necessary precautions during the COVID19 pandemic to ensure the safety of our Club members, staff, and others during our BGC Programs.

    With this said, it will be required for precautionary purposes, that parents/guardians dropping off and picking up Club members, must sign in/out their child at the designated check in/out station outside of the Club still maintaining good hand hygiene and social distancing of 6 feet apart.

    It is also required that Club members’ temperatures be taken daily prior to entering the Club as suggested by the Centers for Disease Control & Prevention (CDC In the event that a Club member claims that he/she does not feel well, we will conduct an additional temporal or forehead temperature check to include the forehead only. Any Club member who has a temporal or forehead temperature reading of 99.4°F or higher, will be isolated from others, and the authorized parent/guardian will be contacted for immediate pickup. Per the CDC recommendations, Club members must not return to the Club until at least 24 hours after their fever is gone without the use of fever-reducing medications, or after symptoms have improved (at least 4-5 days after flu symptoms started

    Additionally, due to the St. Lucie County executive order mandating face coverings, effective July 20,2020 to be worn by people visiting or working at an indoor place of business and worn outdoors where social distancing is not possible, ALL Club members attending Boys & Girls Clubs of St. Lucie County “BGCSLC” MUST wear face masks or he/she will not be able to participate.

    Please note, any Parent/Guardian of Club member that does not give authorization for Boys & Girls Clubs of St. Lucie County to take the temperature as discussed above, or refusal to wear a mask, will not be able to attend the Club.

  • Clear
  •  /  /
    Pick a Date
  • 2020 REGISTRATION

  • NOTE: All children must have a 2020 membership application on file.

    Membership Fee $25 per year

    We accept credit card, check or money order

  • LOCATIONS

  • For weekly fee information please email Mat Churchey, DDirector of Operations at mchurchey@bgcofslc.org

    NOTE: There will be no refunds or credits of any kind for unattended weeks or behavioral removal.

  • Clear
  •  /  /
    Pick a Date
  •  
  • Should be Empty: