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.

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.

2024 Summer Camp Sponsors

$150.00 per Session (One Week)
$600.00 for all 6 Weeks

Session #1: July 1- July 5 (Camp closed July 4th)
Session #2: July 8 - July 12
Session #3: July 15 - July 19
Session #4: July 22 - July 26
Session #5: July 29 - August 2
Session #6: August 5 - August 9

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

Multiple Children Deal: 1st child full price, 15% off of remaining children.

Final Payment Due by June 21st

Camp is Closed July 4th

NO REFUNDS AFTER CAMP BEGINS

Download and Fill Out the Forms Below

OR

Fill out both the application form and camper health history and submit through the form below.

Summer Camp

Summer Camp Length

Need Before Care? $25.00 additional per session

Yes

Number of Sessions for Before Care

Need After Care? $25.00 additional per session

Yes

Number of Sessions for After Care

First Name

Middle Initial

Last Name

Gender

Child's Birthday

Child's Age

Current School (Include State)

Grade Completed

Parent(s) or Guardian(s) Information

First Name

Last Name

Current Residence

Address Line 1

Address Line 2

City

State

Zip Code

Cell Phone

Work Phone

Medical and Emergency Contact Information

If the parent(s) or guardian(s) cannot be reached in an emergency, please call:

First Name

Last Name

Emergency Contact Relationship to Child

Phone:

First Name

Last Name

Emergency Contact Relationship to Child

Phone:

Doctor's Name

Doctor's Phone Number

Are there any health problems including physical, psychiatric, or behavior problems of which we need to be aware?

Please describe the health problems below.

Are there any medications, dietary restricitons, allergies, or special needs that we need to be aware of to ensure that your child's experience is positivie?

Please list the medications/restrictions below.

State Which Immunizations the Child Has Had

Date of Last Tetanus Shot (Mandatory)

Does your child have any psychological or behavioral problems?

Do You Require Extended Daycare?

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.

I understand this form is not to make donations or pay for membership. This form is to register and pay for Summer Camp. Registering for Summer Camp is not making a donation therefore not a tax deduction.

Signature

Sign Here

Todays Date

No payment items has been selected yet

Please note, you do not need a PayPal account to make your payment.

Summer Camp

2024 Summer Camp Sponsors

$150.00 per Session (One Week)
$600.00 for all 6 Weeks

Session #1: July 1- July 5 (Camp closed July 4th)
Session #2: July 8 - July 12
Session #3: July 15 - July 19
Session #4: July 22 - July 26
Session #5: July 29 - August 2
Session #6: August 5 - August 9

Final Payment Due by June 21st

Camp is Closed July 4th

NO REFUNDS AFTER CAMP BEGINS

Download and Fill Out the Forms Below

OR

Fill out both the application form and camper health history and submit through the form below.

Parent(s) or Guardian(s) Information

Medical and Emergency Contact Information

© 2024 BGCSM. All rights reserved.

Website Designed and Maintained by Wattz Web Design and Marketing

Login

Summer Camp

2024 Summer Camp Sponsors

$150.00 per Session (One Week) $600.00 for all 6 Weeks

Session #1: July 1- July 5 (Camp closed July 4th) Session #2: July 8 - July 12 Session #3: July 15 - July 19 Session #4: July 22 - July 26 Session #5: July 29 - August 2 Session #6: August 5 - August 9

Final Payment Due by June 21st

Camp is Closed July 4th

NO REFUNDS AFTER CAMP BEGINS

Download and Fill Out the Forms Below

OR

Fill out both the application form and camper health history and submit through the form below.

Parent(s) or Guardian(s) Information

Medical and Emergency Contact Information

© 2024 BGCSM. All rights reserved.

Website Designed and Maintained by Wattz Web Design and Marketing

Login

$150.00 per Session (One Week)
$600.00 for all 6 Weeks

Session #1: July 1- July 5 (Camp closed July 4th)
Session #2: July 8 - July 12
Session #3: July 15 - July 19
Session #4: July 22 - July 26
Session #5: July 29 - August 2
Session #6: August 5 - August 9