IMPORTANT: Click the  button above to download and review our Covid-19 policy.

MEMBER INFORMATION

MEDICAL INFORMATION

SCHOOL INFORMATION

SCHOOL COOPERATION RELEASE

PARENT/GUARDIAN INFORMATION

The responses to the following information are essential in maintaining and securing funding.  Your cooperation is greatly appreciated and all responses will be kept confidential. Thank you!

PUBLIC RELATIONS RELEASE

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. 

PARENT/GUARDIAN AGREEMENT

MEMBER AGREEMENT