Chico Clubhouse Summer Drop In Program 2024

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

You are registering for Summer Afternoon Program services at the Boys & Girls Clubs of the North Valley (BGCNV) at our Chico Clubhouse for 1st - 7th grade. Your child MUST be a CURRENT BGCNV Member to register for our afternoon program and there are no additional fees required. This program begins Wednesday, June 12, 2024 and ends August 9, 2024 we are open from 2:00pm to 6:00pm. Please read the following information and sign accordingly. *Your information in this registration will only be used for BGCNV program purposes

Email *

Parent(s)/Guardian(s) First & Last Name(s) *

Parent/Guardian Phone Number: *

Additional Parent/Guardian Phone Number:

Child First & Last Name (one form per child) *

Age of Child for 2024 Summer: *

Grade of Child from the 2023-2024 School Year: *

I understand that I am registering for 2:00pm-6:00pm services at the Chico Clubhouse, located at 601 Wall Street in Chico. It is a requirement to register for this program that your child must be a current member with the BGCNV. *

Yes, my child is a current BGCNV Member

No, my child is not currently enrolled as a BGC Member, however I would like to be on a waiting list.

I understand that registration by itself does not reserve a spot for my child. I understand that I will receive a confirmation email from BGCNV Staff within 3 business days of registration, which officially confirms my child's spot. *

Yes, I understand and agree to this policy and procedure

No, I decline services at this time

Each week is themed for summer fun! Please indicate what weeks your child will attend: *

WEEK 1: WELCOME WEEK SUMMER STARTS HERE - 6/12/24

WEEK 2: MYTHS & LEGENDS *closed 6/19

WEEK 3: SUMMER OLYMPICS

WEEK 4: PARTY IN THE USA *closed 7/4 & 7/5

WEEK 5: EXPRESS YOURSELF

WEEK 6: UNDER THE SEA + CLUB BIRTHDAY

WEEK 7: DISNEY SMASH UP

WEEK 8: ANIMAL PLANET

WEEK 9: BEST OF THE BEST END OF SUMMER

Required

Check-In (between 2:00pm & 3:00pm) and Check-Out (4:30pm and 6:00pm) Snack & Supper will be offered. As my child is a current member of BGCNV, no additional fees are required. *

Yes, I understand and agree to this policy and procedure

No, I decline services for my child at this time

If your child needs medication during Club hours, required paperwork (Authorization for Medication Administration) must be submitted to the BGCNV at least two business days prior to the start of Summer Programs.

Yes, I understand however no medication needed from 2pm-6pm

Yes, I will require Medication Authorization Forms

Clear selection

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms