NBGC 2022 SUMMER CAMP REGISTRATION

Nantucket Boys & Girls Club
We are at full capacity for incoming 1st Graders (fall 2022). Please email Sarah Ditmars at sarah@nantucketbgc.org to be placed on our waitlist. 
Camper Information
Nombre del Miembro
Apellido del Miembro
Nombre de Escuela
Grado

Género

Origen étnico

Fecha de nacimiento
Summer campers must be AT LEAST 5 years old AND entering the 1st Grade at the start of Summer Camp, June 27th, 2022. No exceptions will be made.

Los campistas de verano deben tener AL MENOS 5 años E ingresar al 1.er grado el comienzo del campamento de verano, el 27 de junio de 2022. No se harán excepciones.
Direccion de casa
Ciudad
Estado
Código postal
CONSENTS | My child has permission to:

Salga del edificio con el personal en excursiones

Ver Películas PG 13

El miembro tiene permiso para ser utilizado en materialies de marketing

Ir en bicicleta a casa

Caminar hacia casa
Member Medical Information
Médico del niño
Número de teléfono
Compañía de seguros
Política #
Permiso para tratamiento por parte del médico/hospital

Notas o excepciones

¿Tiene su hijo alguna afección crónica de salud?

¿Tu hijo tiene alergias?
¿Su hijo lleva alguno de los siguientes?
If your child requires an inhaler, epi-pen, or medication, he/she must have access to them while at the Club. We suggest dropping of an extra for the Club medication box. 

¿Alguna información adicional que el NBGC deba conocer?
¿Le gustaría que un director se comunique con usted para hablar sobre cualquier necesidad especial que su hijo pueda tener antes del inicio del campamento?

Immunization Records


Requerimos una copia reciente (dentro de 1 año) de los registros de vacunación de su hijo.

¿Ha recibido su hijo lecciones de natación o ha sido parte de un equipo de natación?
¿Se siente cómodo con que su hijo participe en actividades acuáticas?
Comentarios
Parents/Legal Guardian Information
Nombre del tutor legal
Relación
Dirección de correo electrónico
Número de teléfono
Nombre del tutor legal
Relación
Dirección de correo electrónico
Número de Teléfono
Emergency Contact Information/Infarmación en caso de Emergencia
Nombre
Relación
Número de Teléfono
Additional Emergency Contacts
Nombre
Relación
Número de Teléfono
Parent/Guardian Waiver + Acknowledgments

Parent/Guardian Acknowledgment and Consent

I hereby give consent for my child to participate in the Nantucket Boys & Girls Club 2022 Summer Program and further give my authorization to the Staff of the Nantucket Boys & Girls Club to arrange for routine or emergency medical care and treatment necessary to preserve the health of my child. I acknowledge that I am responsible for all reasonable charges in connection with care and treatment rendered and agree not to hold the Nantucket Boys & Girls or any member of their staff responsible in the unlikely event of an accident. 


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.

Swimming and Water Activities

A part of your child’s Nantucket Boys & Girls Club summer program experience is spending time at the beach and in the water. Our waterfront policies and procedures have been carefully designed to insure safety at all times. Staff members overseeing waterfront activities hold lifeguard certifications, have received additional training regarding specific waterfront and beach related safety procedures, and are supervised by our Aquatics Director while facilitating any water activities. Beach activities and staff performance will be closely supervised to insure compliance with all policies and procedures.

 

Students spend time at north shore and harbor beaches only; e.g., Dionis, Brant Point and Children’s Beach. It is important parents/guardians and your children understand all water activities are optional. If members do not wish to participate in water activities there are many other options provided.

 

Each member’s swimming ability will be tested the first day they participate in a beach activity. In order to help insure your child’s safety, please rate your child’s swimming experience and ability. This information will be included on your child’s emergency contact card which is carried by the staff leader on all field trips and beach trips.

COVID Assumption of Risk & Waiver Letter

Dear Parents and Guardians, 


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.


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 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.

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

Haga clic aquí para obtener una traducción al español de las exenciones de responsabilidad y exenciones.

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Camper Week Selection
grado en otoño de 2022
Week 1 (June 27-July 1) is at capacity. 
Please email Sarah Ditmars, sarah@nantucketbgc.org, to be placed on our waitlist!
grado en otoño de 2022
Week 3 (July 11-15) is at capacity. 
Please email Sarah Ditmars, sarah@nantucketbgc.org, to be placed on our waitlist!
grado en otoño de 2022
Week 4 (July 18-22) is at capacity. 
Please email Sarah Ditmars, sarah@nantucketbgc.org, to be placed on our waitlist!
grado en otoño de 2022
Week 5 (July 25-29) is at capacity. 
Please email Sarah Ditmars, sarah@nantucketbgc.org, to be placed on our waitlist!
grado en otoño de 2022
Week 6 (August 1-5) is at capacity. 
Please email Sarah Ditmars, sarah@nantucketbgc.org, to be placed on our waitlist!
grado en otoño de 2022
Week 7 (August 8-12) is at capacity. 
Please email Sarah Ditmars, sarah@nantucketbgc.org, to be placed on our waitlist!
grado en otoño de 2022
grado en otoño de 2022
$
Discount Options Old
Click here to download our Financial Aid Form. Financial Aid may not be combined with any discountsFinancial aid applications will be accepted until April 1st. Please submit them to Allison Rice before that date. Email: allison@nantucketbgc.org.

***We will have limited funds available for any financial aid application received after April 1st. ****

The Early Bird Discount has ended. Please do not select!
Refunds: will only be given in unique or special circumstances. 

$
Payment
$
A 20% deposit must be paid by April 1st or your child's spot will be forfeited. 

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