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How to Register for Sports Programs | Boys & Girls Clubs of Kennebec Valley

The registration form for sports programs is available in the front office, or you may download the sports registration form which are located under each sport. See sports program tab.The form needs to be filled out in full to complete the registration process. Information that appears on the form is important to Club programming and funding.


You may bring your completed form to the front office or mail it. All forms must have original signatures.


As indicated on the Sports Registration Form, full payment is required to be submitted with the final completed form in order to activate the application. Team spots will not be held for forms missing information, an original signature, or payment.


Resident fees apply to children living in Chelsea, Gardiner, Pittston, Randolph, Richmond, and West Gardiner. Nonresident fees apply to all other towns. For more information and cost please check each sports page.  See sports Programs 

 

Both Parents Mother Only Father Only Grandparents Guardian 1parent/1step parent
African-American Native American Asian Hispanic Caucasian/White Multi-Racial Other
PARENT INFORMATION & HOUSEHOLD INFORMATION
Phone Text E-mail
EMERGENCY CONTACTS:
This is someone who can assume temporary care of your child if we cannot reach you
Release of Liability & Waivers
I, the parent/guardian of the minor child listed on this application, for ourselves, our heirs, executors and administrators, hereby release, waive, acquit and forever discharge the Boys & Girls Clubs of Kennebec Valley, and Boys & Girls Clubs of America, their representatives, successors, insurers, assigns or any other person or entity associated with any of the above organization such as staff, directors or volunteers, from all liability, claims, demands, or causes of action for any and all loss, damage, injury and any claim of damages resulting from use of facilities owned or controlled by the above organization, or participation in activities of said organizations either at or away from the Club.
I give permission to the Boys & Girls Clubs of Kennebec Valley to seek emergency medical treatment for my minor child if I cannot be reached. I will be responsible for any/all costs of medical attention and treatment. That includes emergency transportation.
I give permission for my child’s picture, moving pictures, or any other graphic depiction or likeness, to be used by the Boys & Girls Clubs of Kennebec Valley and its activities.
I give permission to The Club is share my child’s information with volunteer coaches and assistant coaches.
By Checking this box you agree to the terms of this form
I Agree
Yes No
FORMS MUST BE COMPLETED IN FULL AND RETURNED TO THE CLUB IN PERSON OR BY MAIL WITH THE FULL PAYMENT.
FORMS WILL NOT BE ACCEPTED WITHOUT PAYMENT OR AFTER REGISTRATION DEADLINE.

14 Pray Street, Gardiner ME 04345

Phone 207-582-8458 | Fax 207-582-7902

               
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