Please read the Great Futures Guide and fill out the form below. Great Futures Guide Signature Form My child(ren) and I have read and understand that by signing this form we take responsibility for all information, expectations, policies, and procedures included in joining the Boys & Girls Clubs of the Greater Chippewa Valley organization.Parent/Guardian Name* First Last Parent/Guardian Email* Member Name* First Last Member Age*Which club are you attending?* Black River Falls Chippewa Falls Eau Claire Menomonie Altoona I agree:*Please check each box that you have read and agree to each section in the Great Futures Guide. Membership Policy – Page 4 Family Communication – Page 6 One-on-One Interaction Policy – Page 7 Behavior Policy – Page 8 Illegal Activity – Page 12 Supervision Policy – Page 13 Disability Inclusion Policy – Page 14 Health Policy – Page 15 Meal Program – Page 17 Activities/Field Trips Away from Club – Page 17 Visitor Conduct Policy – Page 18 Electronics Policy – Page 20 Acceptable Technology Use Policy – Page 20 (This gives permission and understanding for a Club member using Club and personal devices.) Signature*Date* MM slash DD slash YYYY 7 + 2 =*CAPTCHA