Camp Crosby Summer 2022 Registration

Boys & Girls Club of East Providence
115 Williams Ave 
East Providence, RI 02914
www.epbgc.org
 
Camp hours 8:30AM-4:15PM
Before and After Camp available for an additional fee 6:30AM-8:30 AM and 4:15 PM - 5:45PM
 
Please read parent handbook for all of our policies and procedures. This can be downloaded here.
Please be sure to send your child with water.  
 
 
If your child will be attending Hennessey School in September do not fill this form out.  Instead click here and fill out the Hennessey Scholar Camp - Camp Crosby registration form.  If you fill this form out you will not be able to access special pricing made possible by our 21st CCLC grant
 
 

Camp Registration

Capacity at Camp Crosby will be limited. Once capacity has been reached we will be starting a waiting list. If no spots are available for the session you would like to register for and would like to be added to the waiting list, please check the box for the waiting list you would like to be added to. *
(45 remaining)
(35 remaining)
(38 remaining)
(37 remaining)
Do you need Before Camp Care? You will choose what you need for each session in the next step *
Do you need After Camp Care? You will choose what you need for each session in the next step *

Session 1 Before and After Camp Registration

Before camp care is available beginning at 6:30 AM Price for before and after camp care is $25 per two week session and space is limited. Please check here if you need before and after camp care. If you receive state assistance, this fee will be covered if you qualify for full time care.
(5 remaining)
After camp care is available until 5:45PM. Price for before and after camp care is $25 per two week session and space is limited. Please check here if you need after camp care. If you receive state assistance, this fee will be covered if you qualify for full time care.
(0 remaining)

Session 2 Before and After Camp Registration

Before camp care is available beginning at 6:30 AM Price for before and after camp care is $25 per two week session and space is limited. Please check here if you need before and after camp care. If you receive state assistance, this fee will be covered if you qualify for full time care.
(3 remaining)
After camp care is available until 5:45PM. Price for before and after camp care is $25 per two week session and space is limited. Please check here if you need after camp care. If you receive state assistance, this fee will be covered if you qualify for full time care.
(0 remaining)

Session 3 Before and After Camp Registration

Before camp care is available beginning at 6:30 AM Price for before and after camp care is $25 per two week session and space is limited. Please check here if you need before and after camp care. If you receive state assistance, this fee will be covered if you qualify for full time care.
(2 remaining)
After camp care is available until 5:45PM. Price for before and after camp care is $25 per two week session and space is limited. Please check here if you need after camp care. If you receive state assistance, this fee will be covered if you qualify for full time care.
(0 remaining)

Session 4 Before and After Camp Registration

Before camp care is available beginning at 6:30 AM Price for before and after camp care is $25 per two week session and space is limited. Please check here if you need before and after camp care. If you receive state assistance, this fee will be covered if you qualify for full time care.
(2 remaining)
After camp care is available until 5:45PM. Price for before and after camp care is $25 per two week session and space is limited. Please check here if you need after camp care. If you receive state assistance, this fee will be covered if you qualify for full time care.
(0 remaining)

Participant Information

Please note that you must fill this form out for each child you are registering.
 +
Ethnicity *
 

Household / Contact Information

Individuals other than parents/guardians who are authorized to pick up child. Please include their phone number. Reminder anyone picking up should have their photo ID for staff to confirm their identity.
 First NameLast NamePhone NumberEmergency contact(Y/N)
Contact
Contact
Contact
Contact
Does your child receive free or reduced lunch at school *
Is anyone in the household a member of the military or National Guard *

Health Information

Any restrictions of activity due to medical activity, if yes explain *
 
This health information is correct to the best of my knowledge and the person herein described has permission to engage in all prescribed activities, except as noted by me and the physician. I authorize the Boys & Girls Club of East Providence to arrange for medical examination and/or treatment of my child should an emergency arise in any Boys & Girls Club program. It is understood that every effort will be made to contact the emergency numbers provided before any medical action is taken. *

Acknowledgements

Childcare Handbook Acknowledgement I hereby acknowledge that I received and have reviewed the Boys & Girls Club of East Providence’s Childcare Parent Handbook. Childcare Handbook can be downloaded here *
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I understand that I am responsible for payment of all sessions that I have registered my child for and that no refunds are given except when disenrolling my child(ren) by giving advanced written notice by the Tuesday prior to the session they are registered for as outlined in the Camp Crosby Parent Handbook. *
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I understand that I must provide the Boys & GIrls Club of East Providence with a valid credit card or debit card number that will be charged as outlined in the parent handbook and that if the card is declined, my child's registration will be forfeited and filled with another child from the camp waiting list. *
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Safety Policies Acknowledgement I hereby acknowledge that I received the Boys & Girls Club of East Providence’s Child Safety Policies. The safety policies can be downloaded here Please type your name below to acknowledge *
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