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IF
YOU WISH TO PAY BY CREDIT CARD, PLEASE CALL THE RECREATION OFFICE AT 684-4310
DURING BUSINESS HOURS, MONDAY-FRIDAY, 8 AM – 5PM.
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SIGN ME UP! Print out form below and fill out. You may register by
mail with check payment enclosed or you may fax registration and call
department staff with your credit card information. Our staff would
also be happy to take your registration over the phone or in person:
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B.E.S. T. CLUB
684-4310
ENROLLMENT FORM
Child’s
Medical
Conditions (Allergies, Epilepsy, Etc.)
_________________________________________________
Child’s
Medical
Conditions (Allergies, Epilepsy, Etc.) _________________________________________________
Child’s
Medical
Conditions (Allergies, Epilepsy, Etc.)
_________________________________________________
Home
Street Address (no P.O. Box) _________________________________________________________
Mailing Address (if different from above)
______________________________________________________
Home
Phone: ___________________ Business Phone: __________________ Other:__________________
Parent/Guardian’s
Name: _________________________________________________________________
Emergency
Contact other than Parent/Guardian:
________________________________________________ Address:_______________________________________________
Phone:__________________________
My child(ren) will be taking advantage of school bussing to a
B.E.S.T. site.
YES______ NO
Initial here
NAME OF BEST SITE ATTENDING:
_________________________________________________________
Yes
No I give my approval
for pictures to be taken during department programs for publicity purposes.
I
hereby request participation in the above program sponsored by the
Parent/Guardian Signature
_________________________________________Date:___________________
684-4310
MEMBERSHIP
CONTRACT
I understand
I am entitled to attend
Payments
are due in August and January before children can attend the B.E.S.T.
Club.
I
understand that the following guidelines will be enforced at all B.E.S.T.
Clubs:
1.
Being a member of
2.
B.E.S.T. programs are drop-in recreational centers. Participants
may arrive and depart at their own will.
Should you wish your child to remain until a parent/guardian arranges
for pick up, you must convey that message to your child.
*3.
The B.E.S.T. Club is open Monday through Friday, after school until 5:30
p.m. during the school year (which follows the
*4.
B.E.S.T. Club members are expected to be respectful of people and
property including leaders, other children, equipment and facilities.
*5.
There is no climbing on anything that is not designed to be climbed upon
such as trees, fences, swing sets or buildings.
6. Shoes must be worn at all times.
*7.
Profane, obscene or indecent language is prohibited at all times.
8. Children who do not attend school due to
illness (ringworm, head lice, pink eye, etc.) will not be allowed to
participate that day at the B.E.S.T. Clubs.
*9.
The
;
Failure to remain seated ;
Spitting ; Throwing objects in/out of bus
;
Bothering others ;
Profanity ;
Disobeying bus monitor
;
Lighting matches ;
Fighting ; Willfully destroying bus property
; Refusing to obey bus driver ;
Smoking on bus ;
Hanging out of the window
(Adopted
from
All
decisions will be made by Staff on duty, unless there is a need for the
supervisor to get involved. Rules that
have an (*) can and will involve suspension of participant. Suspension length will be determined by staff
on duty.
Parent
Signature: _______________________________________________ Date: ________________
Child’s/Children’s
Name: ___________________________________________________________________