Parent Handbook/Immunization Form

Parent Handbook 2020-2021
File Size:	922 kb
File Type:	pdf

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Immunization Form
File Size:	145 kb
File Type:	pdf

Download File

Stephen F. Austin Unit - Online Parent Handbook/Immunization Form
For more information call 361-853-2505 or email info@bgccb.org

* Indicates required field

Child's Name *

First

Last

2nd Child's Name *

First

Last

3rd Child's Name *

First

Last

4th Child's Name *

First

Last

Receipt of Parent Handbook:
I have this day received a copy of The Boys & Girls Clubs of the Coastal Bend Parent Handbook and I understand that l am responsible for reading the policies and practices described within it.

Electronic Signature (Full Legal Name) *

Date (MM/DD/YYYY) *

Immunization compliance:
This statement is an assurance that ______(list child/children's name(s) below) immunization records or waivers have been received by the host school where Boys and Girls Clubs of the Coastal Bend are providing afterschool care.

List Child/Children's First Name(s) *

Electronic Signature (Full Legal Name) *

Date (MM/DD/YYYY) *

Parental Authorization for Emergency Medical Attention:
I give consent for the Boys and Girls Clubs of the Coastal Bend to secure any and all necessary emergency medical care for my child/children.

Electronic Signature (Full Legal Name) *

Date (MM/DD/YYYY) *

Submit

Stephen F. Austin Unit - Online Parent Handbook/Immunization Form
For more information call 361-853-2505 or email info@bgccb.org

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What Our Parents Are Saying

Stephen F. Austin Unit - Online Parent Handbook/Immunization Form​For more information call 361-853-2505 or email info@bgccb.org

Visit Us

What Our Parents Are Saying

Stephen F. Austin Unit - Online Parent Handbook/Immunization Form
For more information call 361-853-2505 or email info@bgccb.org