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I understand that the Boys & Girls Club of Menominee has an  Open Door Policy. This means that members are free to enter & leave the Club. It is the responsibility of the parents/guardian to instruct their child as to whether they can leave or not. I understand that my child can not be left at the Boys & Girls Club earlier than the Club s established hours of operation. I understand that my child must be picked up at or before closing time. The Boys & Girls Club provides no supervision after closing; Members who are not picked up at the Club at closing are the parent s responsibility. The Boys & Girls Club assumes NO responsibility. I understand my child s membership standing is based upon his/her ability to obey the rules of the Club, Its officials and staff members. Members may be suspended or cancelled at any time for misbehavior without a refund. I hereby consent to the reproduction, publication and use of photographs/video footage and Web sites for advertising and/or publicity purposes as deemed appropriate by the organization. I will not hold the Boys & Girls Club of Menominee responsible in case of injury resulting from my child s activities in the Club program and I give consent to him/her being given emergency treatment by a physician or hospital in case of an accident. Parent/Guardian Signature _____________________________________ Date ______________ Member Signature ___________________________________________ Date ______________ 901 8th Ave Menominee, MI 49858 (906) 863-9512 fax: (906)863-9577 www.thedar.org (OVER)! 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