By checking, I attest that I have read and agree to adhere to Boys & Girls Clubs of Southern Maine's Covid-19 safety policies and procedures. 

I give my permission to the Boys & Girls Clubs of Southern Maine to release the member’s name listed on this application to their school in order to request access to the member’s school records as needed in order to receive information regarding attendance, grades, behavior in class and academic success. The purpose of this is to help the organization do a better job of helping the member be successful in school, in the Boys & Girls Club and in life.

I give permission for the member listed on the application to have their name and/or pictures, portraits or such images, audio and/or video in advertising, news, social media, and/or any other promotional materials for Boys & Girls Clubs of Southern Maine (BGCSM), and for use or distribution in other non-BGCSM publications, electronic or otherwise, without notifying me. I waive any rights that I may have to inspect and/or approve the finished product that I or the member may have, including copyright. I agree to hold BGCSM harmless from any liability that may arise by virtue of any artistic or other distortion and/or alteration that may occur in the finished product. 

I hereby give my permission for my child to become a member of Boys & Girls Clubs of Southern Maine (BGCSM).  I understand that BGCSM and its personnel are not responsible for personal injury or loss of property. I hereby give permission to BGCSM to secure proper treatment for my child in case of emergency. I understand that there is a BGCSM Parent & Member Handbook that provides guidelines my child and I must adhere to. I may request a copy of the handbook at any time.