Thank you for using the Boys & Girls Club of Burbank and Greater East Valley's Web Registration System for the 2016-2017 School Year. Any question with a red asterick is a required field and the system will not process your application unless you complete all boxes with the red asterick.
Further, I agree that the Club may personally transport my child to the nearest known hospital and will hold the Club harmless of any consequences related to such transportation. I grant permission for the Club to take and use photos and video footage of my child in the news and press releases included but not limited to, promotional materials.
Further, I herewith acknowledge a WAIVER OF CLAIMS, which releases and forever discharges the Boys & Girls Club of Burbank and Greater East Valley, its staff, and Board of Directors, from any claim or demand what so ever arising out of the participation of my child or ward in the Boys & Girls Club of Burbank and Greater East Valley planned programming conducted in or outside a Boys & Girls Club facility or in the handling of an emergency involving the aforementioned Boy/Girl member.
Please list all Emergency Contact with their First and Last Name and a contact phone number
School year sites registration fee:
Payments must be made before the child can attend the program.
Your registration payment can be made online at www.bgcburbank.org and your monthly payments can be made via the Credit/Debit Card Authorization Form which can be found on our website at www.bgcburbank.org. Once this form is filled out, you will be set up on automatic payment and your payment will be processed on the 1st of the month. Payments can also be made with check or cash at the main club.
The Club does not provide refunds in any case.
Late Payment Fee The Club charges a $15 late fee if the monthly fee is paid after the 5th of the month.
Your child may not return until correct payment is made.
Financial aid is available to families. Applications are available at the Main Club. The Boys & Girls Club of Burbank is able to provide financial scholarships to those families who need it most. Financial Aid comes in various denominations that will help cover the cost of the monthly tuition. Aid does not cover the annual membership fee. You will be held accountable to pay the membership fee prior to the first day your child enters the program. Aid is granted to families on the basis of financial need. Each applicant must apply annually for school year and summer programming. Applications are subject to review at any time. No child is turned away for an inability to pay.
Hours of Commitment
The Boys & Girls Club has implemented a volunteer program,'Hours of Commitment' for all parents. Parents are requested to complete 5 hours of volunteer service to the organization throughout the school year. All volunteer opportunities are posted at each respective location and parents can donate supplies and snacks to compensate for volunteer time. The current value of a volunteer hour in the State of California is $26.34. Parents will be charged the full or remaining amount of the value of the time not contributed to the Club.
Thank You For filling out Your Application Online!
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