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 or contact emergency services 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.