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2023 Summer Program

Youth

2023-24 Afterschool Program Registration

  • BC AFTER SCHOOL PROGRAM (ASP) Registration Starts 7.28.23 ENDS> 8.11.3 OR WHEN WE REACH Capacity (35 kids)
  • THE ASP IS A CAPACITY. All new registrations will be placed on a waiting list. 
  • BCSP Program Starts 9.5.23
  • Last day of ASP is LAST DAY OF THE SCHOOL YEAR
  • Must be in grade k-6 to enroll. 
  • Enrollment will be limited to 35 kids. 
  • Parents or authorized adults must sign kids in/out daily. (Grades k-4)
  • ASP is currently FREE! 
  • FREE Healthy Snacks daily! 
  • Activities = Sports/ Art & Crafts/ Scavenger Hunts/ Laser Tag/ AR Reading/ Group engaged activities. 
  • Hours OPEN= 4p-6m (Monday- Thursday) 
  • ASP STAFF PICKUP> Our staff will pick up the ASP kids at the front of the LAES nearest the flagpole at 4pm Monday-Thursday. Parents can drop off at anytime but kids not authorized to walk alone must be accompanied by an adult. 
  • Parent Pickup NO LATER THAN 6PM. (Late pickups can lead to suspension from the ASP)
  • Questions.......please call 719.662.1235 (Robert) 
Student Name
First Name *
Last Name *
(all 4 numbers for the year)
Month
/
Day
/
Year
Current Grade
Parent
First Name *
Last Name *
Date
Country
Address Line 1 *
City *
State/Province *
Postal Code *
Parent Phone #
Emergency #1
First Name *
Last Name *
Emergency #1 Phone

WILL YOU ALLOW YOUR CHILD TO WALK HOME FROM THE PROGRAM?
(MUST BE IN 4TH GRADE OR ABOVE TO LEAVE THE ASP ALONE)
NOTE: THIS SECTION MUST BE COMPLETED

Please Note any allergies, medical info, or information.


Parent(s) or Guardian(s) who have been authorized by this form are the only persons staff will release the child to from the ASP( After School Program). If there is an emergency that prohibits those authorized on this form to pick up the child, we require the parent to call the Bent County Community Center front desk at 719-662-1235 to advise staff of the person receiving “one time” authorization to pick up the child. To maintain a safe process for your child we ask that this procedure only used in case of emergency.    

(WAIVER OF LIABILITY & APPROVAL FOR PARTICIPATION)

In consideration of (name of child)membership and participation in the activities, special program or events at the Bent County/Las Animas Community Center, I as parent/guardian of above named minor, grant permission for participation in center activities and waives any and all rights and claims or damages against the Bent County/Las Animas Community Center and/or its sponsors for all claims arising from traveling to center and participating in activities and programs.  I will on behalf of above said child assume and pay any medical or emergency expenses in the event of an accident, illness, or other incapacity. I authorize the ASP to share information with the Las Animas school district, and to take pictures of my child participating in ASP activities. 

PLEASE READ THIS LIABILTY FORM TO SUBMIT FORM
First Name *
Last Name *
BY SUBMITTING YOU AGREE TO THE TERMS AND LIABILTY WAIVER

We appreciate our "Platinum" Sponsors!

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