In order for our staff to better help your child, input your Infinite Campus login ID and password (Parent Portal).
If your child will be riding the bus, list their regular bus pick up and drop off locations.
Please describe other income sources: Include income type and amount for EVERY PERSON living in the home, regardless of age or type of income.
I understand that the Boys & Girls Clubs of Appalachia has an open door policy where members are allowed to come and go as they please. Should a member leave the Club, they will not be granted return access unless approved by the Club Unit Director. We assume no responsibility for members who choose not to attend on a particular day or who choose to leave early.
I, the parent/guardian of the minor child on this application, on behalf of the minor child listed herein and for ourselves, our heirs, executors and administrators, hereby release, waive acquit and forever discharge the Boys & Girls Clubs of Appalachia (BGCAPP) and Boys & Girls Clubs of America, their representatives, successors, insurers, assigns or any other person or entity associated with any of the above organizations such as 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 wither at or away from the Club.
By typing your name, you confirm that you agree to the above statement and have supplied true and accurate information in this application.
