BGCGG Registration From

This program is made possible through a partnership between Garden Grove Unified School District and Boys & Girls Clubs of Garden Grove.

I hereby acknowledge and certify I am the legal parent/guardian of the child(ren) registering for Boys & Girls Clubs of Garden Grove (BGCGG). I understand the names listed on the Emergency Contacts & Authorized Pickup section are approved to pick up my child(ren). BGCGG will only release child(ren) to those listed on the Emergency Contacts & Authorized Pickup section. All authorized pickups MUST be 18 years of age or older and provide valid identification at time of pickup. BGCGG and GGUSD will not be held liable should any child leave the premises without permission.

I hereby consent to my child’s membership in the Boys & Girls Clubs of Garden Grove (BGCGG) and release the Club, Garden Grove Unified School District (GGUSD) and its agents from all liability. BGCGG has my permission to select a physician in case of emergency and treatment may be given should the parent or authorized physician be unavailable.

BGCGG is committed to working collaboratively with parents/guardians around the needs of their students to ensure a child’s success in the program. When member behavior issues arise, BGCGG will work with parents and members to reach a resolution. Should BGCGG determine that my child cannot follow the established behavior policies, parents will be notified and disciplinary action will be taken, including possible termination of the child’s membership.

In order to evaluate the effectiveness of our program, my child may participate in assessment activities. I also consent to allow Boys & Girls Clubs of Garden Grove, to exchange confidential educational and health information and records regarding my child with Boys & Girls Clubs of America and GGUSD. I have read, understand and agree to the above activity.

Coronavirus disease 2019 (COVID-19) is a respiratory illness that is spread person to person through respiratory droplets produced by an infected person. Limiting close face-to-face contact with others is the best way to reduce the spread of COVID-19. Social distancing, also called “physical distancing,” means keeping a safe space between yourself and other people who are not from your household. To practice social or physical distancing, stay at least 6 feet (about 2 arms’ length) from other people who are not from your household in both indoor and outdoor spaces.

As Boys & Girls Clubs of Garden Grove (BGCGG) returns to school campuses the health and safety of members, families and staff will remain the top priority. BGCGG will implement the following sign-out policy during the pandemic to address evolving concerns associated with COVID-19.

As always, members must be picked up by a parent, legal guardian or someone listed on the emergency contact list who is 18 years or older, with valid photo ID.

In order to maintain social distance and to limit the transfer of high touch items (pens, documents, clip boards, etc.) a parent signature will not be required on the daily attendance sheet at the time of pick-up.

Maintaining accurate records of member departure from the program is crucial to the safety of members and required of all ASES programs. BGCGG staff will record the accurate time of pick-up and the name of the adult picking up the member on the daily attendance sheet. Staff initials and signatures will be required to certify the accuracy of attendance records.

By signing below, I acknowledge that I have received, read, and understand the principles included in this policy.