2022 Membership and Summer Program Application
Thank you for choosing to be a part of the West End House (WEH) community! We offer high quality programs to help young people achieve academic success, become leaders, stay fit and healthy, and explore the arts. We use this information for grant purposes only - your individual information is never shared.
For more information about the summer program contact Jenny Nute, jnute@westendhouse.org
For more information about family engagement contact Karla Aguilar, kaguilar@westendhouse.org
Summer Program Information: All Programs run June 28th -August 18th.
Club members ages 8-12: Summer Explorers
Club members age 13: Teen leadership
Club members age 13+: Teen program
Commitment to safety: All of us – staff, families, and young people - share the responsibility to keep our West End House community safe. We have established a strong safety plan based on CDC guidelines with the goal of reducing our exposure to and transmission of COVID-19. Here are some of the safety requirements at a glance:
Member Information
Care Giver #2
Commitment to Health Guidelines:
Please read and sign below:
I will check each day to see if my child has any COVID 19 symptoms
I will keep my child home if he or she exhibits any of the COVID 19 symptoms
I certify that the application is factual and complete to the best of my ability. I hereby give permission for the minor child listed on the application to become a member of the West End House. I understand the WEH is not responsible for personal injury or loss of personal property and that I will be financially responsible for any intentional damage or vandalism to the WEH caused by my child. It is understood that the code of conduct will be adhered to and a member’s failure to comply may result in membership termination.
I, the parent/guardian of the minor child listed on this application, on behalf of the minor child listed herein and for ourselves, our heirs, executors and administrators, hereby release, waive, acquit and forever discharge the WEH, their representatives, successors, insurers, assigns 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 the above organizations, or participation in activities of said organizations either at or away from the WEH.
DAILY ADVENTURES: This summer we will be offering a wide variety of small group trips to different parks, museums, and events throughout the city. We will be using the West End House bus, the MBTA, or walking to travel to these trips.
Admission for these trips is FREE – return times will vary but we always arrive back to the West End House before 6 pm.
Please sign the permission slip below to ensure your child can participate in our DAILY ADVENTURES.