Louis & Elizabeth Sands Branch

Cross Streets: W Grovers Ave & 47th Ave
4730 W. Grovers Ave.
Glendale, AZ 85308

Phone: (602) 375-0400

 

Any discounts are not applied during online registration. Please register at the Club directly if you believe you qualify for a discount.

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Sands Membership Registration
It's non-stop fun with a purpose! Our Clubs were developed to provide K-12th students a full year of awesome activities and enriching experiences: Sports and games, art projects, educational opportunities, technology access and skill building, social events, field trips and more!
A schedule has not been set up for this event
 
Attendees: 1 $ 30.00 ea.
Attendees: 1 $ 15.00 ea.
Attendees: 1 $ 650.00 ea.
Attendees: 1 $ 260.00 ea.
Attendees: 1 $ 390.00 ea.
Attendees: 1 $ 65.00 ea.

*Photo Permission-By selecting YES, I authorize the use of photographs, video, and sound recordings or handiwork of my child to be used for publicity and/or advertising by the BGCMP.

**Medical Treatment Consent- I agree that my name typed on the line is intended to have, and shall have, the same validity as my handwritten signature. Parent/Guardians signature (name typed here is equivalent to a signature).  

I, the undersigned parent or guardian of the above mentioned child/children, a minor, do hereby consent to an x-ray, examination, anesthetic, medical or surgical treatment, diagnostic procedure, or service that might be rendered to said minor under the special or general instructions of an emergency department physician from an emergency medical facility or other physician rendering emergency care.

It is understood that this consent is given in advance of any specific diagnosis or treatment being rendered, but is given to consent to emergency treatment as may be needed. I understand that I will be responsible for any/all costs of medical attention and treatment.

We hereby release and agree to hold harmless the Boys & Girls Clubs of Metropolitan Phoenix, Inc., its employees, agents, and/or affiliates from and against any claim for injuries or damages that may arise out of our child’s participation in program, any alleged negligence on their part for conducting the program, or allowing us or our child to participate in it.

This consent shall continue in effect for all who may rely upon it including, but not limited to the medical facility and physician on its medical staff and the Boys & Girls Clubs of Metropolitan Phoenix, Inc., until expiration date, unless they have received written notice of revocation.

***Parent Policy Terms of Use and Acceptance Required for Enrollment- I agree that my name typed on the line is intended to have, and shall have, the same validity as my handwritten signature. Parent/Guardians signature (name typed here is equivalent to a signature).

The Boys & Girls Clubs of Metropolitan Phoenix is NOT a Department of Health Serivces liscenced child care facility under section 36-882 of Arizona law. Youth may come and go at will and must sign themselves in and out of the facility. If a parent does not wish a child to leave the facility, it is the parent’s responsibility to instruct the child.

The following terms outline the requirements and expectations for membership into the Boys & Girls Clubs of Metropolitan Phoenix. Please read carefully as your signature indicates your agreement.

The current annual membership fee is $30 and the membership year is September 1-August 31 regardless of date enrolled. Additional program fees, including Summer Day Camp, sports, field trips, etc., may vary by location and require separate registration. Payment is due upon enrollment into any fee-based program.

When information regarding a member changes it is the parent’s responsibility to inform Club personnel. Changes may include: phone numbers, address, school, emergency contact information, medical conditions, etc.

Club hours of operations vary and may include holiday and staff training closures. It is the parent’s responsibility to know the Club’s schedule and arrange transportation to and from the Club. A late fee of $10 per child, for every block of fifteen minutes, will be charged for members left at the Club past closing. Late fees must be paid prior to the member returning to the Club. If a member is left past closing more than 3 times in a twelve month period, membership privileges may be revoked for up to sixty days. If a child is left for more than one-hour past closing and Club personnel have exhausted all measures to locate parent/guardian, local authorities may be notified.

A child cannot be brought to the facility when ill. A parent will be notified if a child becomes ill while at the Club and must, upon notification, make arrangements to pick up the child immediately. If a member has been exposed to or contacts a contagious desease the parent must contact Club personnel immediately. Member must not attend Club until he/she is no longer contagious. Written authorization from a treating physician may be required to return.

Boys & Girls Clubs of Metropolitan Phoenix takes no responsibility for lost, missing, or damaged items. It is recommended that member’s personal belongings including cell phones, games, video equipment, cameras, bicycles, etc, be left at home.

BGCMP reserves the right to suspend any member from the Club or Club activities for exhibiting poor behavior. Acts of violence and bullying may result in immediate suspension. It is the parent’s responsibility to meet with Club personnel regarding concerns on behalf of either party.

Staff reserve the right to restrict usage of cell phones and other electonic devices by members if it is disruptive to the program. No pictures, video recording, or audio recording by members is allowed and may result in confiscation of equipment, suspension of membership, and, in illegal instances, contacting local authorities.

Additional practices may vary at individual locations. Questions regarding rules and expectations should be directed to Club personnel.

I am enrolling my child in the Boys & Girls Clubs of Metropolitan Phoenix (BGCMP) and request that my son/daughter be admitted as a member. I agree that BGCMP shall not be responsible for accident/injuries occuring to my son/daughter while on the premises or while particpating in activities away from the Club. I agree to the terms of use listed above and those included in the Parent Policy handout. I agree to ensure that all information provided to the Boys & Girls Clubs of Metropolitan Phoenix is current and accurate. I agree to pay all fees that my child incurs while at the Club. I have explained the rules to my son/daughter and I will encourage him/her to follow the rules, be respectful, participate, and have fun at the Club.

****Supplemental Information- I agree that my name typed on the line is intended to have, and shall have, the same validity as my handwritten signature. Parent/Guardians signature (name typed here is equivalent to a signature).

I, the parent/guardian of the minor child listed above, for ourselves, our heirs, executors and administrators, hereby release, waive, acquit and forever discharge the Boys & Girls Clubs of Metropolitan Phoenix, 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 either at or away from the Club.

School Information
I give my permission to the Boys & Girls Clubs of Metropolitan Phoenix and above School District to exchange information regarding the minor child listed on this application. The purpose of the exchange is to help both organizations do a better job of helping my child be successful in school, in the Boys & Girls Club and in life. This release is valid for one year from the date of signature and may be revoked at any time by contacting the School District or the Boys & Girls Clubs of Metropolitan Phoenix in writing.

Surveys and Questionnaires
I, the parent/guardian of the minor child listed on this application, give permission for Boys & Girls Clubs of Metropolitan Phoenix to survey my child about his or her Club experience, behaviors, skills and attitudes using Boys & Girls Clubs of America’s National Outcomes Survey or other survey instruments.

Technology
I understand that a member of the Boys & Girls Clubs of Metropolitan Phoenix, my child will have access to the Internet. While precautions are being taken, it is possible that she/he may access inappropriate sites. The Boys & Girls Clubs of Metropolitan Phoenix will have rules and consequences for such behavior; however they are not responsible for the consequences of such access by my child. I will reinforce responsible Internet use with my child and support any consequences imposed by his/her actions at the Club.

Miscellaneous
I understand the Boys & Girls Clubs of Metropolitan Phoenix is not responsible for lost or stolen items. Parents and Club members are responsible for their own transportation to and from the Club. As a drop-in facility, we are not responsible for Club members’ whereabouts and they have the right to come and go at will.

I give my permission to the Boys & Girls Clubs of Metropolitan Phoenix to share information about the minor child listed on this application with Boys & Girls Clubs of America (BGCA) for research purposes and/or to evaluate the program’s effectiveness. Information that may be disclosed to BGCA might include the information provided on the membership application form, information provided by the minor child’s school or school district, and other information collected by Boys & Girls Clubs of Metropolitan Phoenix, including data collected via surveys or questionnaires. All information provided to BGCA will be kept confidential.

 

 

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4309 E. Belleview St., Bldg. 14 • Phoenix, AZ 85008 • 602-954-8182 © 2016 Boys & Girls Clubs of Metro Phoenix. All Rights Reserved.