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  • Registration Form

    Summer 2021
  • We are looking forward to a great summer!

    We have so many fun activities planned for this summer. We are so glad your family will be joining in on the FUN!
  • Please note: Your BEC account must be paid in full before you can register for a new BEC program. If you are unsure of your account balance or need to make a payment, you may visit mybrightwheel.com. (Link will open in a new tab)

  • Student Info

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  • Student #2 Info

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  • Student #3 Info

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  • Primary Parent/Guardian Info

  • Please note: The Primary Parent/Guardian is automatically an authorized pick-up person and will be the first emergency contact person. This person also assumes primary responsibility for account maintenance such as:

    • Making payments on time
    • Setting up a brightwheel account and/or keeping contact information updated and current
    • Adding other parents or authorized pick-ups to their child's brightwheel account
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  • Secondary Parent/Guardian Info

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    • Emergency Contacts  
    • Emergency Contacts

      Please list at least one emergency contact in case Parent(s)/Guardian(s) cannot be reached.
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  • Almost there!

    Before you submit this enrollment form, please share with us...



  • Terms and Conditions

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    Pick a Date
  • By checking 'I Agree' and signing below, I, the Parent or Guardian of the above student(s), agree:

    • to providing breakfast and lunch for my child(ren) every day that they attend BEC during Summer Care
    • to understanding and adhering to the policies outlined in the Parent Handbook.
    • to release Baugo Extended Care, including all staff, for any and all injuries which may occur while in their care. I also agree that I am responsible for health and accident insurance and any medical costs incurred due to injury. I give permission for emergency medical transportation and treatment of my student(s) at my expense should the need arise.
    • to pay tuition based on the date(s) I have selected for my child(ren) to attend. I understand that tuition is due no later than the first day of attendance and that payment is due regardless of attendance. Payments will not be adjusted due to illness, non-attendance, or vacation.
    • to give permission for my child(ren) to be included in any promotional/media resources, including photography and videography, related to BEC, including brochures, flyers, websites, social media sites, on-site news media, or in press releases. BEC will not identify children by last name.
    • to subscribe to receive emails from BEC such as BEC newsletters and other marketing emails. I understand that I can unsubscribe at any time.
  • COVID-19 Liability Release Waiver

  • The World Health Organization declared the novel Coronavirus (COVID-19) a worldwide pandemic. Due to its capacity to transmit from person-to-person through respiratory droplets, the government has set recommendations, guidelines, and some prohibitions which Baugo Extended Care adheres to comply.

  • By checking 'I Agree' and signing below, I, the Parent or Guardian of the above student(s), acknowledge that I have read the following Liability Release Waiver and understand its contents; that I am at least eighteen (18) years old and fully competent to give my consent; That I have been sufficiently informed of the risks involved and give my voluntary consent in signing it as my own free act and deed; that I give my voluntary consent in signing this Liability Release Waiver as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation.

    This waiver will remain effective until laws and mandates relevant to COVID-19 are lifted.

    • The undersigned, in my capacity as parent or legal guardian, hereby acknowledge the health risks and dangers associated with the transmission of the COVID-19 virus, and other communicable diseases, and recognize that exposure to the COVID-19 virus, or other communicable diseases, could occur while my child is in the care of the Baugo Extended Care Program.
    • With full knowledge of the risks involved, I hereby release, waive, discharge Baugo Extended Care, it's owners, and it's employees from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me related to COVID-19 while participating in any activity while in, on, or around the premises or while using the facilities that may lead to unintentional exposure or harm due to COVID-19.
    • I agree to indemnify, defend, and hold harmless Baugo Extended Care from and against any and all costs, expenses, damages, lawsuits, and/or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against any of the released party due to injury, loss, or death from or related to COVID-19.
    • I represent that I have full authority to sign on behalf of my child(ren) and that my signaturebinds each other person having authority to make decisions on behalf of the child(ren).
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