I, the parent/guardian of the
minor child listed on this registration, hereby release, waive, acquit and
forever discharge the Nantucket Boys & Girls Club and Boys & Girls
Clubs of America, their representatives, successors, insurers, assigns or any other
person or entity associated with any of the above organization’s 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 Club.
I give permission to the
Nantucket Boys & Girls Club to seek emergency medical treatment for my
minor child if I cannot be reached. I will be responsible for any/all costs of
medical attention and treatment.
I give my permission to the
Nantucket Boys & Girls Club to collect information via online or written
surveys, questionnaires, interviews and focus groups from the minor child
listed on the registration. Any and all information received will be kept
strictly confidential. Data gathered through these means will be summarized in
the aggregate and will exclude all reference to any individual responses. The
results of these analyses may be shared with Club staff, Boys & Girls Clubs
of America, funders, and other community stakeholders to evidence program
effectiveness and/or Club impact on our members.
As a member of the Boys &
Girls Club, your child will have access to the internet. See the attached
Technology policy for signature.
I understand the Nantucket
Boys & Girls Club is not responsible for lost or stolen items. Please
encourage your child not to bring valuables to the Club.
Parents and Club members are
responsible for their own transportation to and from the Club.
I understand I will be
financially responsible for any intentional damage or vandalism to the Club
caused by my child.
I give permission for my child’s
picture, moving pictures, or any other graphic depiction or likeness, to be
used by the Nantucket Boys & Girls Club and its partners.
I understand the Club is not,
nor does it claim to be, a licensed day care center.
Nantucket Boys & Girls Club complies with
regulations of the Massachusetts Department of Public Health and is licensed by
Nantucket Health Department. Parents may request copies of background
checks, health care and discipline policies, by contacting the Executive
I am aware that as a
parent/guardian I must attend a
Parent/Guardian Orientation prior to my child’s first day attending the Club. (*Please note – this is necessary for ALL Club parents/guardians, in
grades 1st-5th , regardless of member being a new or
returning Club member.)
Parent Orientation meeting schedule – must
attend one session before registering a member for the school year for members
1st – 5th grade.