*SUMMER 2019 REGISTRATION IS NOW OPEN
SUMMER PROGRAMMING WILL BEGIN JUNE 3, 2019
Boys & Girls Clubs of Siouxland
823 Pearl St.
Sioux City, IA 51101
Call (712) 258-5545
Email office@bgcsiouxland.org
All Boys & Girls who are new to the Club must attend a New Membership Orientation with their parents. All paperwork and fees are turned in at that time.
- New Membership Orientation September - May: Wednesdays at 6:15 pm
- New Membership Orientation June - August: Wednesdays at 9:00 am
- Always a good idea to call in advance to make sure the meeting is being held - sometimes our regular schedule changes for holidays and special events.
Confidentiality: All information requested is for our records and for the funding of our organization. The answers you provide will be kept completely confidential. Your cooperation in providing this information is both appreciated and necessary.
(Remember: Parents should call the Club if another person not listed is authorized to pick up the member)
I authorize the Boys & Girls Clubs of Siouxland to act on my behalf in case my youth is victim of a major accident, injury, or illness when immediate medical or surgical care is needed; provided a member of the club staff shall make a diligent effort to first notify me of the situation and ascertain what my preferences are. If efforts to reach me are unsuccessful, I authorize duly licensed medical professionals to take such action as their judgment dictates. I further agree that, neither the Boys & Girls Clubs of Siouxland, nor any person associated with them, has any responsibility of any kind to me or my youth from any claims arising from any accident, injury or illness, which my youth may suffer as the result of any such health care or medical treatment. I understand that the Boys & Girls Clubs of Siouxland is not authorized to distribute medication or provide medical services.
Additionally, I authorize the Boys & Girls Clubs of Siouxland to transport my youth in Club vehicles to any field trips within the regularly scheduled Club hours. I understand that only field trips or activities that function outside of regularly scheduled hours will require my permission.
When in the course of regular Club programming, I authorize the Boys & Girls Clubs of Siouxland to photograph, video and/or audio tape my youth for use in Club social media, publications and/or media presentations. If applicable, I authorize members of the media to photograph or tape my youth engaging in Club activities or special events.
I also authorize the Boys & Girls Clubs of Siouxland and/or contracted researchers of the Boys & Girls Clubs of Siouxland, to involve my youth in outcome measurement/evaluation of Club programs. I authorize my youth’s school to share my youth’s report cards, grades, and attendance records. I understand that any data or information obtained from these activities will be treated with utmost confidentiality and my youth will not be individually identified as a participant.
Additionally, I authorize my youth to use the Boys & Girls Clubs of Siouxland Network and Internet Services. I also authorize the Boys & Girls Clubs of Siouxland, to enforce any and all guidelines set forth in the responsible computer use guidelines.
I understand that the Boys & Girls Club is not responsible for any personal items brought to the Club, and that the Club will not pay or replace any personal items that are lost, stolen, or broke while at the Club.
I further certify that failure to abide by Club guidelines and behavioral expectations will result in the member’s immediate dismissal from Club activities, and the member will be sent home at the expense of the student and his/her parent/guardian without refund of any Club, program, or membership fees. All Club fees should be understood as non-refundable.
