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Become a member! Complete our online application or download a copy to get started.
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Complete the form below to register or download printable .PDF versions using the links below.
Asbury Park Application
Red Bank Application
If a child is diagnosed with a contagious illness, the child will require a statement from the doctor indicating that the illness is no longer communicable upon return to the program.
1. Club staff members will not administer any medications. Parents can set up a schedule to come into the Club and give their child medication.
2. Members who use an asthma pump or Epipen® may carry it with them and use it as needed. For Club members who do not feel well (e.g., vomiting, diarrhea, uncontrollable or persistent cough, etc.), a staff member will notify the parent of a Club member’s illness. If a parent cannot be reached, the emergency contact will be notified to pick up the Club member. It is expected that the Club member will be picked up within an hour. Until the parent arrives, the Club member will be excluded from activities/programs with other Club members and will rest quietly under the supervision of a staff member. If an accident or medical emergency occurs, the staff member in charge will:
It is respectfully requested that my child be exempted upon religious grounds from the all immunization requirements required for attendance at the summer by the sea day camp. To the best of my knowledge and belief, s/he is and has been in normal good health and is free from all communicable or contagious diseases.
Should my child manifest any condition where there appears to be reasonable grounds for suspecting the presence of a communicable or contagious diseases, I agree that a physical examination may be performed by a health care provider of my choice. Also, I agree that if any such disease is found, my child will comply with the regular sick camper policies.
It is further understood that, should an emergency arise, I will be notified immediately. However, in the event that we cannot be located immediately, the authorities of the camp may take such temporary measures as they deem necessary.
I release and forever discharge the camp and each and every one of its officers, directors, partners, shareholders, employees, agents, insurers, affiliates, successors in interest, attorneys, or any other person or persons associated with any or all of them or any variation in the name of any or all of them who might be liable (the “Released Parties”) from all causes of action, suits, claims, demands, or any other damages or costs associated with actions taken by the Released Parties relative to the health, sickness, and treatment of my child
I further understand and acknowledge that I make this release in full accord and satisfaction of and in compromise of any current or future disputed or alleged claims or causes of action relative to the health, sickness, and treatment of my child against the Released Parties.
I represent and acknowledge that I have read and understand this agreement and release and warrant that all statements made herein are true to the best of my knowledge. I further warrant and acknowledge that I am of legal age, legally competent to execute this agreement and release, and accept full responsibility there for.
If you would like your child to participate in field trips, please complete and sign the following statement of consent and acknowledgment. As a parent or legal guardian, you remain fully responsible for any legal responsibility which may result from any personal actions taken by the named member.
I hereby certify that my child has my permission to participate in any field trip organized by the Boys & Girls Club of Monmouth County, e.g., Keansburg Water Park, weekly trips to county parks, etc. To the best of my knowledge, he/she is physically fit to engage in such activity and is not suffering from any disease or injury.
I understand that Boys & Girls Clubs uses a 25-passenger bus and a 12-passenger van to transport the students. All drivers have good driving records.
It is understood that my child is expected to behave in a safe and respectful manner while on trips, this includes respecting the staff, bus, and each other; failure to do so may result in termination of trip privileges. My child will not be allowed to participate in this activity until a parent or guardian signs this form. Please return this permission form, as soon as possible. If the permission form is not on file your child will not be permitted to participate. Boys & Girls Club will no longer accept verbal permission on the day of the trip. I have read the complete application, understand the rules of the Boys & Girls Clubs of Monmouth County and request that my son/daughter be admitted into membership. Although every effort will be made to prevent injury, if an injury should occur to my child while participating in Club activities, I agree to hold the Boys & Girls Clubs of Monmouth County, its agents and employees, and any volunteers/employees harmless.
I understand by enrolling my child he/she will be part of an electronic student management system that complies with full confidentiality and Acceptable Use Policies of the Boys & Girls Clubs of Monmouth County.
I grant the Boys & Girls Clubs of Monmouth County the unlimited right to use and/or reproduce photographs or likenesses in any legal manner for the internal or external promotional and information activities of the Boys & Girls Clubs of Monmouth County. I also agree to allow my child to be interviewed and/or photographed by representatives of the external news media in relation to any and all coverage of the Boys & Girls Clubs of Monmouth County in which he/she is involved. I also agree to allow my child’s work and/or photograph to be published on the Boys & Girls Clubs of Monmouth County Web site/Internet pages, and publications. I further understand that by signing this release, I waive any and all present or future compensation rights to the use of the above stated material(s).