Authorization
I, the parent/guardian of the minor child listed on this application, for ourselves, our heirs, executors and administrators, hereby release, waive, acquit, and forever discharge Boys & Girls Clubs of Hamilton (BGCHamilton), their representatives, successors, insurers, or any other person or entity associated with any of the above organizations such as staff, directors, or volunteers, from all liability, claims, demands, or causes of action for any and all loss, damage, injury, or death, and any claim of damages resulting from use of facilities owned or controlled by BGC Hamilton , or participation in activities of said organization either at or away from the Club.
I give my permission to BGC Hamilton and my child’s school district to exchange information regarding the minor child listed on this application. The purpose of the exchange is to help both organizations more effectively aid the student’s academic pursuits
I give my permission to BGC Hamilton to collect information via online or written surveys, questionnaires, member assessments, staff assessments, and focus groups from the minor child listed on this application. Data gathered through these means will be summarized in the aggregate and will exclude all references to any individual responses. The aggregated results of these analyses may be shared with BGCA, Club staff, BGC Hamilton funders, and other community stakeholders to evidence program effectiveness and/or Club impact on our members. I give permission for my child’s picture, video, or any other graphic depiction, or likeness, to be used by BGCHamilton and its partners. I give permission for my child to access the internet.
I understand BGC Hamilton is not responsible for lost or stolen items. I give my permission to the BGC Hamilton to search my child's belongings in cases where theft, illegal drugs, weapons and any other illegal contraband are suspected. As a drop-in facility, we are not responsible for Club members’ whereabouts. BGC Hamilton is not a licensed day care facility or a custodial care service. I understand that the Club is not, nor does it claim to be, a licensed day care center.
I understand that I am to make arrangements for my child to depart the Club by closing time. BGC Hamilton reserves the right to contact the appropriate authorities for assistance when members are not picked up in a reasonable time and after all emergency contact alternatives have been exhausted. BGC Hamilton also reserves the right to take disciplinary action, suspension and/or loss of membership, of members who are repeatedly picked up 15 minutes or more after closing time. I agree to cooperate with lockdown procedures should circumstances warrant Club to lockdown to ensure the safety of its members.
Behavior expectations for our members are the same as those of the schools. We impress upon our members the importance of getting along with others. Discipline procedures include time out, loss of activity privileges and suspension. All parents will treat Club staff with respect when discussing situations pertaining to their children. Staff are available 12:00 pm – 3:00 pm during school year and with scheduled appointment during summer.
Parents must complete the required Parent Orientation before student can start the program.
I have read the completed application and request that my child be admitted into membership.