After School Program Enrollment Form

BIG BLUE AFTER SCHOOL 2024-2025
Big Blue After School (BBAS) is a faith-based program, sponsored by
the River of Life Fellowship, for children 1st to 6th grade. We meet
Tuesdays (Grades 1-2) and Thursdays (Grades 3-6) at Big Blue Community
Center, located at 208 Colorado Avenue in Ordway. Our goal is to
provide a safe environment for your kids to experience God’s love
through games, friendships, snacks, music, and just plain fun!

Big Blue will meet only when Crowley County Elementary is in session.
Our Fall Session will run from September 17 to November 14.

Tuesday – Big Blue After School 1-2, meets from 4-5:30 p.m. We will
provide adult volunteers who will meet students at the elementary and
will walk them to Big Blue every Tuesday.

Thursday – Big Blue After School 3-6, meets from 4-5:30 p.m. We will
provide adult volunteers who will meet students at the elementary and
will walk them to Big Blue every Thursday.

All students will need a completed registration form with a parent
signature in order to attend.
Big Blue After School Program 2024-25
Parent's/Guardian's Name*

First NameLast Name
Parent's Phone Number*

Area CodePhone Number
Parent's Email*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact 1:

First NameLast Name
Phone Number 1:

Area CodePhone Number
Emergency Contact 2:

First NameLast Name
Phone Number 2:

Area CodePhone Number
Specific Individuals besides Emergency Contacts who can pick up my Children:
1.blanks
2.blank
In case of inclement weather do you give permission for your child(ren) to be driven to BBAS from Crowley County Elementary? (Check'yes' or 'no')

YesNo
Child's Name 1*

First NameLast Name
Date of Birth

MonthDayYear
Date
Grade

First GradeSecond GradeThird GradeFourth GradeFifth GradeSixth Grade
Does your child have any Medical or Allergy concerns you need to share?
Child's Name 2 (if needed)

First NameLast Name
Date of Birth

MonthDayYear
Date
Grade

First GradeSecond GradeThird GradeFourth GradeFifth GradeSixth Grade
Does your child have any Medical or Allergy concerns you need to share?
Child's Name 3 (if needed)

First NameLast Name
Date of Birth

MonthDayYear
Date
Grade

First GradeSecond GradeThird GradeFourth GradeFifth GradeSixth Grade
Does your child have any Medical or Allergy concerns you need to share?
Parent/Guardian Program Authorization Signature
By signing below and as parent/guardian of the children listed above, I assume all of the risk for my child/children as they participate in Big BlueAfter School Activities, including any risk that may arise from negligenceor carelessness on the part of the River of Life Fellowship or BBASdirectors, employees, and volunteers, which may result in any loss,damage, or injury, including death, that may be sustained by mychild/children while participating in any Big Blue After School activity, orwhile on the premises of Big Blue, where the program is beingconducted. I certify that there are no health-related reasons or problems which would exempt my child from participating in Big BlueAfter School. I give personnel at Big Blue After School my permission to seek medical attention for my child/ren in the event of an emergency if I cannot be contacted. I understand that as a participant, my child may be photographed or videotaped during BBAS activities. These photos/videos may be used in promotional materials and/or the website.
I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.
Name of Parent or Guardian*
Signature*
Transportation
Ordway residents only: We highly recommend that Ordway
parents/guardians pick their children up at the conclusion of the
after-school program. There will not be a designated ‘Ordway’ bus so
there is a limited amount of space available on the vans for Ordway
children and as such we cannot guarantee a spot. Please check one of
the boxes below to show your preference.
Ordway Children Only

Yes, I give permission for my children to walk homeNo, I will pick my children up at the conclusion of BBAS activitiesI am requesting the limited in-town Ordway transportation
BBAS PROVIDES TRANSPORTATION to Sugar City, Olney Springs, Crowley
and very limited to Ordway. If you would like to use this service, please
sign the consent below. I, the parent/guardian, recognize the risk of
physical injury to vehicle passengers, and I voluntarily agree to assume
the full risk, waiving all claims for injuries, damages or loss, which my
child/children may sustain as a result of transportation provided by Big
Blue After School & the River of Life Fellowship. By signing below, I agree to the above waiver, giving permission for the child/children being registered to be given a ride home after BBAS actvities.
Select one if you are requesting transportation:

CrowleyOlney SpringsSugar City
Address if selecting transportation services
Parent/Guardian Program Authorization Signature
Name of Parent or Guardian*
Signature*
Should be Empty:

Big Blue After School Program 2024-25

Parent/Guardian Program Authorization Signature

Transportation

Parent/Guardian Program Authorization Signature