SATURDAY ACADEMY REGISTRATION

Saturday Academy is designed for BCNY's youngest members. This program is held on Saturdays from 8:30 a.m. to 2 p.m Saturday Academy participants receive free breakfast and lunch along with an array of enriching and fun programming. Activities include STEAM, ELA, games, sports, arts, and much more. Most importantly, Saturday Academy will introduce BCNY's 4Cs to our young members with mentorships from our oldest members. Upon Saturday Academy graduation, participants will become official BCNY clubhouse members and will discover all the out-of- school and community programs BCNY has to offer!

Your child must be currently enrolled in 2nd grade AND must be 7 years old before September 1st or 3rd grade but will not turn 9 before December 1st to be eligible for Saturday Academy registration at Abbe Clubhouse and Gerry Clubhouse.

Registered members are expected to attend every Saturday Academy but can miss up to 2 days throughout the cycle. Members who cannot meet these expectations may have their membership reviewed or suspended.

Please note that space is limited. Registration is on a first-come, first-served basis. If registration is full, your child will be placed on a waitlist.

REQUIRED REGISTRATION DOCUMENTS

• Birth Certificate/Passport (a photocopy is acceptable)
• Updated Immunization Records OR New York Dept. of Education “Medical Request for Immunization Exemption” Form
• CACFP Food Form
• Physical Examination Form (signed, dated in 2021 or later, and stamped)

Abbe Clubhouse

133-01 41st Road Flushing, New York 11355 718.886.5454

Gerry Clubhouse

321 East 111th Street New York, NY 10029 212.534.2661

PARENT AND MEMBER CONSENT

(required for all. Legal guardian or parent must sign. Members 18 and over must sign themselves)

I have read the completed application; I understand the rules of The Boys' Club of New York [BCNY] and I request that the proposed member be admitted. On his behalf I hereby release, discharge. indemnify and hold harmless The Boys' Club of New York, and any of its affiliates, subsidiaries, officers, agents and employees, from all claims, demands, actions, or liabilities of whatever kind and nature. including but not limited to bodily injury. death or property damage arising from, or in any way connected to, such child's use, operation, or participation in BCNY activities. I understand that BCNY will not administer any medication to members.

I hereby give my permission for photographs and videos of him to be used in BCNY promotional materials and website. and in outside exhibitions, BCNY events. newspaper articles, TV features, online videos, or publications approved by BCNY. I additionally permit his artwork to be used by BCNY for sale or presentation to BCNY board members, supporters. or guestsof any kind without compensation. If he attends boarding school, I give my permission for his registration to remain active until graduation. I also give permission for him to participate in BCNY surveys. I understand that BCNY reserves the right to placehim on an alternate or abridged schedule if it is deemed appropriate. Additionally, I do hereby give consent to BCNY's Program staff to obtain necessary emergency medical treatment for my child with the understanding that the family will be notified as soon as possible. 

CONSENT FOR EMERGENCY MEDICAL TREATMENT

I do hereby give consent to The Boys' Club of New York staff to obtain necessary emergency medical treatment for my child with the understanding that the family will be notified as soon as possible.

REQUIRED REGSITRATION DOCUMENTS

All FOUR must be submitted to complete your registration

•Birth Certificate/Passport (a photocopy is acceptable)

•Updated Immunization Records ORNew York Dept. of Education “Medical Request for Immunization Exemption” Form

•CACFP Food Form (Linked)

•Physical Examination Form (signed, dated, and stamped) ORPrior physical dated no more than two years ago