Membership Registration

Your Membership is a privilege! Always respect yourself, others, staff and the Club.

Minimum annual contribution per member is $100 per year or $225 for a family of three or more, but we exist because of the generosity of those who can give more. Financial assistance is available to those in need. All memberships are valid from September 1st to August 31st.

Member Expectations

Take care of all equipment, returning it to its proper place. Clean up after yourself. The adult in charge of the activity will settle any dispute that might occur. Respect yourself, fellow members, staff, equipment and the building. Breaking the law or acting otherwise in a way that brings discredit to you and/or the Boys & Girls Clubs of Washington County may be grounds for suspension or revocation of member privileges.

Parent/Guardian:

1. Medical Treatment: I give permission to the Boys & Girls Club of Washington County to seek emergency medical treatment for my minor child if I cannot be reached. I will be responsible for any/all costs of medical attention and treatment.
2. Data Collection: I give my permission to the Boys & Girls Clubs of Washington County to collect information via online or written surveys, questionnaires, interviews, and focus groups from the minor child listed on this application. Any and all information received will be kept strictly confidential.
3. School Information: I give my permission to the Boys & Girls Clubs of Washington County and the member’s school district to exchange information regarding the minor child listed on this application.
4. Data Sharing: I understand that the Boys & Girls Clubs of Washington County may share information about the minor child listed on this application with the Boys & Girls Clubs of America (BGCA) for research purposes and/or to evaluate program effectiveness. All information provided to BGCA will be kept confidential.
5. Technology: As a member of the Boys & Girls Clubs of Washington County, your child will have access to the Internet. While precautions are being taken, it is possible s/he may access inappropriate sites. The Club will have rules and consequences for such behavior, however, we will not be responsible for the consequences of such access.
6. Image Sharing: I give permission for my child’s picture, moving pictures, or any other graphic depiction of likeness, to be used by the Boys & Girls Club for promotional materials.
7. Miscellaneous: I understand that the Boys & Girls Clubs of Washington County 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. I understand that the Club is not, nor does it claim to be, a licensed day care center.
8. I, the parent/guardian of the minor child listed on this application, for ourselves, our heirs, executors and administrators, hereby release, waive, acquit and forever discharge the Boys & Girls Clubs of Washington County and the 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 organization either at or away from the Club.
9. I have read and completed the membership application, have read and agree to all policies and conditions stated in the Parent/Guardian & New Member Handbook, understand the expectations set forth by the Boys & Girls Clubs of Washington County for members and families, and request that my child be admitted into membership.