Summer 2006 at the Boys and Girls Clubs of Burbank June 2006 Week of June 19 – 23 19 – Horseback...
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Transcript of Summer 2006 at the Boys and Girls Clubs of Burbank June 2006 Week of June 19 – 23 19 – Horseback...
Summer 2006 at the
Boys and Girls Clubs
of Burbank
June 2006Week of June 19 – 2319 – Horseback Riding 20 – Swimming21 – Out to the Movies22 – Swimming23 – Universal Studios
June 2006Week of June 26 – 3026 – Santa Monica Pacific Park 27 – Swimming28 – Ice Skating29 – Swimming30 – Bowling July 2006Week of July 3 - 73 – LA Zoo4 – Club Closed5 – California Science Center/IMAX6 – Swimming7 – DisneylandJuly 2006Week of July 10 - 1410 – Long Beach Aquarium11 – Swimming12 – Beach13 – Swimming 14 – Burbank History Museum
July 2006Week of July 17 - 2117 – Natural History Museum 18 – Swimming19 – LA Maritime Museum
20– Swimming/LA Galaxy 21 – Hurricane HarborJuly 2006Week of July 2424 – Horseback Riding25 – Swimming/Cal. African American Museum 26 – Out to the Movies 27 – Swimming/Countrywide Tennis Classic (See Jay) 28 – Burbank Recycle Center July/August 2006Week of July 31 –August 431 – Santa Monica Pacific Park 1 – Swimming 2 – Ice Skating3 – Swimming 4 – Magic Mountain August 2006Week of August 7 - 11 7 – LA Zoo 8 – Swimming 9 – Cal. Science Ctr. / SPARKS (See Jay) 10 – Swimming 11 – Bowling
August 2006Week of August 14 - 1814 – Long Beach Aquarium 15 – Swimming16 – Beach 17 – Swimming 18 – Knott’s Berry Farm August 2006Week of August 21 - 2521 – Natural History Museum 22 – Swimming 23 – LA Maritime Museum 24 – Swimming 25 – Summer BBQ
Boys & Girls Club of Burbank
2244 N. Buena Vista StreetBurbank, CA 91504
(818) 842-9333
Day Camp – 7AM – 7 PM
Monday through Friday
$80.00/Week
Please place a check by the trips that you will be sending your child
on. Please note all field trips are on a “First Come First Serve Basis.”
Club Membership Fee: $75.00Weekly Fee: $80.00
Field Trip Prices
Unlimited Swimming:___ X $11.00
Horseback Riding: ___ x $18 = _____
Out to the Movies: ___ x $9 = _____
Santa Monica Park: ___ x $11 = _____
Ice Skating:___ x $8 = ______
LA Zoo: ___ x $6 = ______
Bowling: ___ x $8 = ______
California Science Center: ___ x $8 = _____
Long Beach Aquarium: ___ x $11 = _____
Beach: ___ x $5 = _____
LA Maritime Museum: ___ x $4 = _____
Natural History Museum: ___ x $8 = _____
Universal Studios: $38.00 ______Knott's Berry Farm: $29.00 ______Hurricane Harbor: $20.00 ______Disneyland: $40.00 ______Magic Mountain: $27.00 ______
Total: $______
Summer 2006
OF BURBANK
2244 N Buena Vista StreetBurbank, CA 91504
Phone: 818-842-9333Fax: 818-842-0694
Website: www.bgcburbank.org
Summer Camp 2006 RegistrationChilds Name: ________________________________
D.O.B.: _________________ Age: _____________ Home # ____________________________________Contact: ____________________________________Emergency # ________________________________Contact: ____________________________________Work # ____________________________________Contact ____________________________________
PARTICIPANT CONSENTI hereby authorize my child’s full participation in the
above named program conducted by the Boys and Girls Club of Burbank, I agree to not hold the Boys and Girls
Club, its staff, volunteers, or board of directors responsible for the conduct or any loss, damage or
personal injury to my child. Further I understand I am required to pick up my child by the stated closing time or I must pay the applicable late fees as defined by the Boys and Girls Club of Burbank, Inc. $5.00 FOR THE
EVERY 15 MINUTES. Medical Treatment Release
In case of an accident or emergency, I authorize a staff member of the Boys and Girls Club of Burbank to call for medical attention. Further I agree that the Club may
personally transport my child to the nearest known hospital and to hold the Club harmless of any consequences related to such transportation.
Additionally I will accept full responsibility for the emergency treatment or measures that are deemed
necessary for the safety and protection of my child. I release the Boys and Girls Club of Burbank, its staff
and board of directors of any and all liability involved in this emergency procedure.
Medical InformationDoctor: __________________ Dr. #: ______________Medical Ins. # ________________________________
Medical Conditions Allergies, Medications,Devices
Worn) _____________________________________Parent Signature: ______________________________