Improv Class Registration

Improv Class Registration

Students will learn the basics of short form improv through theater games and exercises, learning skills such as listening, cooperating, story creation and character creation. At the end of the session, students will put on a demonstration of what they have learned and favorite improv games.

Registration is $120/student. Financial assistance is available upon request.

Ages 10-12 will meet on Tuesday from 4:30-6 pm; April 5th- May 31st

Ages 13-18 will meet on Wednesday from 4:30-6 pm, April 6th-June 1st

There will be no classes the week of CPS's spring break, April 11th-15th.

*Form Must Be Completed in its Entirety*
INTRODUCTORY INFORMATION
NEW FAMILY TO NBGC? (If returning family, leave blank)

Yes
I already have, or need to apply for financial assistance from NBGC (check "yes" if applicable). You will either receive an invoice or be contacted by finance.

Yes
CHILD 1 INFORMATION
Child 1 Name *

First Name Last Name
Birthdate *

Month Day Year
Date
School *
Age *
Grade (for kinder, input "0") *
Gender *

Boy Girl Other
Ethnicity
Free or reduced lunch?

Yes
Medical Conditions
Requests
Is this participant in NBGC's afterschool program? *
Program Selection (February 7th - April 4th) *

Ages 10-12 ($120) Ages 13-18 ($120)
CHILD 2 INFORMATION
Child 2 Name

First Name Last Name
Birthdate

Month Day Year
Date
School
Age
Grade (for kinder, input "0")
Gender

Boy Girl Other
Ethnicity
Free or reduced lunch

Yes
Medical Conditions
Requests
Is this participant in NBGC's afterschool program?
Program Selection (February 7th - April 4th) *

Ages 10-12 ($120) Ages 13-18 ($120)
Fees are non refundable. A $25.00 fee will be charged for all returned payments.

I understand that by signing this form, I release the Neighborhood Boys & Girls Club and their employees and volunteers from responsibility for any injury incurred by my child or myself during the activity I am registering them for.
Parent Signature *

Clear
Date *

Month Day Year
Date
Contact Information
Primary Email *
example@example.com
Primary Phone *
Please enter a valid phone number.
Child Lives With
Family Name
Parent 1 Information
Parent 1 Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email Address *
example@example.com
Home Phone
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Cell Phone *
Please enter a valid phone number.
Occupation
Company
Parent 2 Information
Parent 2 Name

First Name Last Name
Email Address
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Phone
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
Occupation
Company
Persons other than parents to be contacted in case of an emergency.
Emergency Contact 1
Name *

First Name Last Name
Relationship *
Phone *
Emergency Contact 2
Name

First Name Last Name
Relationship
Phone
Program Guidelines Due to Covid-19

At the Neighborhood Boys & Girls Club the safety and well-being of our members, community, leaders and staff is our top priority. As we continue to navigate through these unprecedented times, we at NBGC are taking all necessary precautions to ensure that we will provide a fun and safe environment for our families. In order to properly and effectively run programs the Neighborhood Boys and Girls Club will be following CDC, IDPH, City of Chicago, Chicago Park District and State of Illinois's Restore plan recommendations. In addition to these recommendations the Neighborhood Boys & Girls Club will be implementing the following best practices:

Face Coverings

Participants are required to wear a face mask while in the building.

Spectators

Spectators are not allowed in Improv Classes.

Safety Procedures

Close Contact: If asymptomatic, fully vaccinated participants may attend program. Non fully vaccinated close contacts cannot return to program for 14 days after exposure. They may return in 10 days if no symptoms arise. They may return in 7 days if participant is asymptomatic and a negative PCR test was done at least 5 days after exposure.

Displaying COVID-19 Symptoms: Participants displaying symptoms may not return to program until a negative PCR test confirms symptoms are not caused by COVID-19.

Positive test: An individual that tests positive (symptomatic or asymptomatic) must wait 10 days from positive test to return to program.

Hand Washing

All youth and staff will be required to sanitize their hands throughout activities. Hand sanitizer will be provided. Soap and water will also be accessible inside the NBGC clubhouse.

Water Bottles

Participants should bring a filled water bottle labled with their first and last names.

Travel Policy

Chicago's travel order asks that, upon return, residents should get tested 3-5 days after travel and stay home for 7 days. Without a test, participants should stay home for 10 days.
Guideline Consent *

Yes, my child(ren) has/have my permission to participate. No, my child(ren) can not participate.
Signature of parent/legal guardian *

Clear
Date *

Month Day Year
Date

Program Payment *

Improv Class Registration (Ages 10-12)

$ 120.00 Quantity

Improv Class Registration (Ages 13-18)

$ 120.00 Quantity

Total

$ 0.00

Card Information

Should be Empty:

INTRODUCTORY INFORMATION

CHILD 1 INFORMATION

CHILD 2 INFORMATION

Contact Information

Parent 1 Information

Parent 2 Information

Emergency Contact 1

Emergency Contact 2

Card Information