Winter Break Camp Sign Up

Each member will need a seperate form submitted. Please complete all forms for members attending the club before payment. Membership spot will not be reserved until the first month's payment has been made. If you have any questions email dana.bgcatchison@gmail.com . 

Open Door Policy, Club Access

I (we) hereby give permission for my child to take part in the summer programs at the Boys & Girls Club of Atchison. I understand that the Boys & Girls Club of Atchison will make every effort to keep my child from leaving the club building without permission; however, I also understand that the Boys & Girls Club of Atchison is a voluntary club in not a daycare center. I understand that the club is not responsible for the time or manner in which my child may arrive or leave the club. If at anytime my child demonstrates that they do not want to be a part of the club program, I understand that I will be contacted and will then be responsible for making other arrangements.

Medical Treatment

I (we) permit and authorize the Boys & Girls Club of Atchison to allow necessary examination, anesthetic, medical diagnosis, surgery or treatment and/or hospital care to be rendered to the named physician or surgeon licensed to practice medicine. I understand that care for injuries that may occur during my child's active participation in boys and Girls Club of Atchison are the responsibility of myself, my family, and or my insurance. I understand that the boys and Girls Club of Atchison does not supply insurance for my child.

Sick or Injured Children
Sick children will be sent home from the club due to any illness that keeps them from fully participating in the program. After notification, Parents must pick up child within one (1) hour.
 
Emergency Procedures 

The following procedures will be taken when children develop health problems or become severely injured while in the program:

1.    Parent will be contacted with the condition of the child.
2.    club staff will recommend whether a child is to be picked up.
3.    Following an injury, in accident report will be written and kept on file. Parents will be provided with a copy as well.
4.    In extreme emergency situations, an ambulance will be dispatched. Parents will be notified.

 
Field Trips

Field trips, when available, are one of the most exciting parts of the program. They are opportunities for vivid and memorable learning experiences. Children are eligible for field trips based upon behavior and participation.  

Acceptable Use Policy

The Boys & Girls Club of Atchison adopts this policy to maintain a safe and secure environment for members, staff, volunteers and others.
 
A personally owned device includes all member-owned existing and emerging technologies and devices that can take photographs, play and record audio or video, input text, upload and download content and/or media, and transmit or receive messages or images.
 
Emerging technologies and devices include but are not limited to cell phones, computers, tablets and storage media (e.g., flash drives), as well as communication tools including social media sites, text messages, chat and websites. Not all devices are covered within this policy. Unacceptable devices in this policy include, but are not limited to, gaming devices or consoles, laser pointers, modems or routers and televisions.
 
Club purposes include program activities, career development, communication with experts and/or Club peer members, homework and Club activities. Members are expected to act responsibly and thoughtfully when using technology resources. Members bear the burden of responsibility to ask staff when they aren’t sure of the permissibility of a particular use of technology prior to engaging in the use.
 
Personally owned devices are to be put away in a secure location during Club time. The Club expressly prohibits the use of personally owned devices in locker rooms, restrooms and other areas where there is an expectation of privacy. Members may have their phones on them during Club activities in extenuating circumstances if previous arrangements have been made between the parent and staff. 
 
Any inappropriate use of a personally owned device, as determined by Club staff, can lead to disciplinary action including, but not limited to, confiscation of the device, immediate suspension from the Club, termination of membership, or other disciplinary actions determined to be appropriate to the Club’s existing disciplinary policies including, if applicable, referral to local law enforcement.
 
Inappropriate communication includes, but is not limited to, obscene, profane, lewd, vulgar, rude, inflammatory, threatening, or disrespectful language or images typed, posted or spoken by members; information that could cause damage to an individual or the Club community, or create the danger of disruption of the Club environment; personal attacks, including prejudicial or discriminatory attacks; harassment (persistently acting in a manner that distresses or annoys another person) or stalking others; knowingly or recklessly posting false or defamatory information about a person or organization; and communication that promotes the destruction of property, including the acquisition or creation of weapons or other destructive devices. If a member is told to stop sending communications, that member must cease the activity immediately.
 
Members may not use any technology to harass, threaten, demean, humiliate, intimidate, embarrass, or annoy their peers or others in their community. This behavior is cyberbullying, which is bullying that takes place using emerging technologies and devices. Examples of cyberbullying include mean text messages or emails; rumors sent by email or posted on social networking sites; and embarrassing pictures, videos, websites or fake profiles. Any cyberbullying that is determined to disrupt the safety and/or well-being of the Club, Club member, Club staff or community is subject to disciplinary action.
 
Members must be aware of the appropriateness of communications when using Club or personally owned devices. Inappropriate communication is prohibited in any public messages, private messages and material posted online by members.
 
Monitoring and inspection. Boys & Girls Club of Atchison reserves the right to monitor, inspect, copy and review a personally owned device that is brought to the Club. Parents/Guardians will be notified before such an inspection takes place and may be present, at their choice, during the inspection. Parents/Guardians may refuse to allow such inspections. If so, the member may be barred from bringing personally owned devices to the Club in the future.
 
Internet access. Personally owned devices used at the Club are not permitted to directly connect to the internet through a phone network or other content service provider. Personally owned devices must access the internet via the Club’s content-filtered wireless network. Boys & Girls Club of [Name] reserves the right to monitor communication and internet traffic, and to manage, open or close access to specific online websites, portals, networks or other services. Members must follow Club procedures to access the Club’s internet service.
 
Loss and damage. Members are responsible for keeping devices with them at all times. Staff are not responsible for the security and condition of the member’s personal device. Furthermore, the Club is not liable for the loss, damage, misuse or theft of any personally owned device brought to the Club.
 
Parental notification and responsibility. BGCA’s Internet Acceptable Use Policy restricts the access of inappropriate material. However, supervision of usage may not always be possible while members use the internet. Due to the wide range of material available on the internet, some material may not fit the particular values of members and their families. Because of this, it is not practical for BGCA to monitor and enforce a wide range of social values in student use of the internet. If parents do not want members to access information beyond the scope of the Internet Acceptable Use Policy, parents should instruct members not to access such materials.

 
Grievance Policy

Parents are children who have a grievance against BGCA that they're not comfortable discussing with the program director (the direct supervisor at the club)can submit their complaint to the Chief Executive Officer at 913-367-3233 - the complaint will be routed to in handled by the appropriate BGCA management.

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and has significant person-to-person spread. As a result, federal, state, and local governments and federal and state health agencies have recommended social distancing measures and have, in many locations, required ongoing prohibitions on the congregation of groups of people of various sizes.

The Boys and Girls Club of Atchison has put in place preventative measures to reduce the spread of COVID-19. These include, but are not limited to: temperature checks, symptom checks, social distancing, and increased hand washing. However, the Club cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending the Club could increase your risk and your child(ren)’s risk of contracting COVID-19.
 
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending the Club and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Club may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Club employees, volunteers, and program participants and their families.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at the Club or participation in Club programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the Club, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Club, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Club program.