AGREEMENT AND POLICIES—Monday through Friday 8:00 a.m. to 6:00 p.m.
Please read carefully and initial each statement.
____Parents are required to escort their child into the club and sign him/her in on the sign in sheet.
Do not drop your child off outside the club.
____When parents pick up the child; it is required for the child to be signed out by the parent.
____It is assumed that if the child stays after 2:00 p.m. the child will be participating in the
conventional Boys and Girls Club program. Please read the “Open Door Policy” statement
closely.
____ Lunch will be at 12:00 p.m. You are expected to send a sack lunch
You are encouraged to provide your child with snacks if he/she is staying past 2:00 p.m.
Snack Bar is also available during the afternoon.
____ If your child is on medication, parent must provide a written explanation of dosage and
possible side effects. Also, please notify the staff of any food allergies that your child might
have.
____The child must attend the morning program at least 3 times a week in order to attend field trips.
NO EXCEPTIONS!
____Parent received and filled out the registration form.
![Text Box: PAYMENT AGREEMENT
Parent will be paying: [ ] Weekly [ ] Monthly
Cost per Week: $ ___________ Cost per Month $ ___________
A $25 service fee will be charged for returned checks. The child may not return to the program/club until the restitution is paid in full amount.](summer%20policies_files/image002.gif)
____If paying weekly, the payment is due every Monday morning before your child arrives to the club.
____If paying monthly (includes 4 weeks), the payment is due on or before the planned attendance:
I understand and will comply with the agreements and policies set forth by The Boys and Girls Clubs of the Antelope Valley.
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____If your child is not picked up by 6:00 p.m., there will be a late pick-up fee charge of $5.00 for
every 15 minutes.
____The Club Genius Summer is available from June 14, 2010 to August 6, 2010
(tentative dates – subject to change depending on participation).
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CLUB GENIUS PROGRAM PRICE LIST
____ SILVER PACKAGE
$75.00
per week per child – does not include fieldtrips
(must bring lunch/snacks).
Plus $25.00 Enrollment Fee
***
SNACK BAR OPENED AFTER 2:00 PM ***
Typical Snack Bar costs:
Food
Items (Mac ‘n Cheese, Burritos, Corn Dogs, Hot Dogs, Fruit, etc) $1.00 - $3.00
Fruit
Drinks, Gatorade, Flavored Bottled Water .75˘
-
$1.00
Typical local Fieldtrips are $5.00 per trip (movies, swimming, fishing, water park, etc).
Out of Town Fieldtrip pricing will be available when scheduled.
Extended commuter hours available for additional fee – See Carmen for details and pricing.
I agree to pay the above amount per each child. X ________________________________________