Donate Summer Camp One of our top priorities is to help members succeed in school and to make their education relevant by applying their knowledge and skills to daily challenges. Through activities that are educational and engaging, our members gain the strength they need to achieve their goals. Power Hour All members receive one hour of homework/tutoring assistance making studying and academic achievement a daily responsibility. Stop, Drop & Read Reading is more than fundamental! Our members are learning reading is just plain fun! In this initiative, members stop, drop everything and pick up their books. Our library offers a wide assortment of reading material for all ages. Since we encourage children to fall in love with reading, we often gift their favorite books to them. Donations to our library are therefore put to great use! Career Exploration Teen members are coached to develop the tools and skills they need to prepare for the job market, including resume preparation and mock interviews. Register Now! $175.00 per Session (Two Weeks) Session #1: June 28 – July 9th Session #2: July 12th – July 23rd Session #3: July 26th – August 6th Session #4: August 9th – August 20th Pre Care (7:30AM- 9:00AM) and Post Care (4:30PM-6:00PM) will both be offered at an additional fee of $25 ($25 for Pre Care and $25 for Post Care) per child per week EARLY BIRD PRICE $25.00 off – if paid by May 3rd , 2021 Multiple Children Deal: 1st child full price, 15% off of remaining children. Final Payment Due by June 11th Camp is closed July 5th NO REFUNDS AFTER CAMP BEGINS Download and Fill Out the Forms Below Download Camp Application Upload Camp Application to Us Camper Health History Upload Camper Health History to Us OR Fill out both the application form and camper health history and submit through the form below. Summer Camp Length Session #1: June 28 – July 9th – $175 Session #2: July 12th – July 23rd – $175 Session #3: July 26th – August 6th – $175 Session #4: August 9th – August 20th – $175 Need Before Care?: $25 Number of Weeks for Before Care Need After Care?: $25 Number of Weeks for After Care First Name of Child Middle Initial of Child Last Name of Child Gender Male Female Child Birth Date Child's Age Current School (Include State) Grade Completed Parent or Guardian Email Full Name of Parent(s) or Guardian(s) Full Address Home Phone Number Cell Phone Work Phone Medical and Emergency Contact Information If parent(s) or guardian(s) cannot be reached in an emergency, please call: Emergency Contact Full Name Emergency Contact Relationship to Child Doctor's Name Doctor's Phone Number Medical Conditions Special Medication State Which Immunizations the Child Has Had Date of Last Tetanus Shot (Mandatory) Does your child have any psychological or behavioral problems? No Yes Do You Require Extended Daycare? No Yes I hereby grant permission for my child to participate in the BGCSM Summer camp. BGCSM has permission to photograph my child in BGCSM sponsored activities. In consideration of the acceptance of the camper for enrollment in the Summer Camp, I hereby release and discharge BGCSM, Youth Activities Program, its agents, employees, and offices, from all claims, demands, action, judgments, and executions which the undersigned, as parents(s) of the camper, ever had or now has or may have, Youth Activities Program, its successors, or assigns for personal injuries known and injuries to property, real or personal, caused by, arising out of the campers enrollment int he Summer Camp. BGCSM reserves the right to terminate a summer camp contract. Please type your Full Name to be used as your Signature. Today's Date Submit $0 to BGCSM Donate © 2021 BGCSM. All rights reserved. Login