Please read the following carefully:

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.

Medical Treatment

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.

Data Collection

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.

Technology

As a member of the Boys & Girls Club, your child will have access to the internet. See the attached Technology policy for signature.

Miscellaneous

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 Director.

Dear Parents, 

As you are certainly aware, COVID-19 is an extremely contagious communicable illness that is spread through person-to-person interactions. Not all individuals infected with COVID-19 display any symptoms, but such individuals may nonetheless be contagious and spread the infection. State and local authorities are closely monitoring the spread of COVID-19 in the Commonwealth of Massachusetts and on Nantucket, and have introduced mandatory quarantines, social distancing and other safety measures to prevent the spread of the disease. Please also note that the Club’s plans will also be subject to change based on evolving guidance and changes in federal, state and/or local mandates or guidance.

Click the link to be taken to all COVID protocols and regulations that we will be following this school year: 

https://nantucketboysandgirlsclub.org/sign-up/school-year-membership/#

Although NBGC will comply with all applicable safety requirements, so long as COVID-19 continues to spread by community transmission and until there is an effective vaccine, there will be a risk that members could become infected with COVID-19 despite those efforts.

• That risk extends to the families of members as well.
• By electing to send your child to the Nantucket Boys & Girls Club this school year, you acknowledge and agree that the safety policies and procedures outlined above are reasonable under the circumstances, and that there is nonetheless a risk that your child could contract COVID-19 and/or become a symptomatic and/or asymptomatic carrier of COVID-19 despite the above safety policies and procedures.
• By signing below, you knowingly and voluntarily assume that risk, as well as the risk that such infection could spread to other members of your child’s household or family.
• By signing below, you are aware that the Club may need to close unexpectedly and inconveniently for positive cases and close contacts. 
• By signing below, you hereby agree, on your own behalf and on that of your child, and of your heirs, executors, administrators, personal representatives, and/or assigns (“Releasors”), to forever release, acquit, discharge, and covenant to hold harmless Nantucket Boys & Girls Club, its trustees, employees, volunteers, representatives, and agents (“Releasees”) from any and all claims, suits, liabilities, and actions, including, but not limited to, any negligence of Releasees, which Releasors may have, now or in the future, which relate in any way to your child contracting COVID-19, or any symptoms or complications arising from COVID-19, as a result of attending any NBGC programs.

Further, by signing below, you agree that you, your child and anyone in your immediate household will abide by applicable terms of the Club’s plans, including without limitation, a 10-day self-quarantine if you travel out of state, and/or if anyone newly arrives to reside in your household from out of state. Questions about travel out of the country or out of the state will be addressed to you throughout the school year, as part of the Club’s plans.

Finally, in these uncertain times, you understand and agree that the duties and obligations of the Club may be modified or suspended immediately and without notice because of causes beyond the Club’s control, such as threats to the health and safety of members and staff, including the Covid-19 pandemic or actions by Government officials or health officials regarding the pandemic. If such an event occurs, you acknowledge and agree that the Club is not obligated to provide any refunds of payments made to the Club.

Sincerely,

Jamie Foster

Executive Director