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Summer 2020 Virtual Programming

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Dear Parent/Guardian:

In an effort to continuously serve members during our limited in-Club Summer Camp, Boys & Girls Clubs of Indianapolis is providing distance-based Club experiences through which Club staff will facilitate program activities through an online platform. Boys & Girls Clubs of Indianapolis will use an application provided by a third party that members, parents/guardians and/or staff will access via the Internet and use for purposes of communication and programming. This platform is called Zoom.

This letter seeks consent for your child to utilize Zoom for distance-based Club program purposes. Zoom provides an opportunity to deliver video and chat-based educational experiences to members via any device. Please be aware that Zoom collects information about its users and has its own privacy terms and conditions to which members must adhere. Please review Zoom’s privacy terms and conditions carefully before registering your member:  http://zoom.us/terms and http://zoom.us/privacy.

In order to participate in distance-based Club experiences, you will need to provide the following:

  • A computer, cell phone, or tablet with access to the Internet
  • A quiet space at home in which members can participate in distance-based experiences under the supervision of an adult
  • To register for Zoom, you will need to provide some customer data, including but not limited to:  your email address and first and last name (for more information, see https://zoom.us/privacy)  

We will use Zoom for the following anticipated program activities:

  • Group chats
  • Video conferencing
  • Media sharing (for example, uploading images of artwork or other projects) 

Our commitment to keeping the young people we serve safe is always our number one priority. Boys & Girls Clubs of Indianapolis will actively monitor member activity on Zoom and will make every effort to protect member information by, among other things, maintaining control of, and access to, the data collected; prohibiting re-disclosure of member information; limiting the purposes for which the online platforms may use member information; ensuring there is no advertising and that no member information is collected for commercial purposes.

Note: Some Clubs may opt to use a different online video/chat-based program.

Further, all activities online must comply with Boys & Girls Clubs of Indianapolis’s safety policies, including the Prohibition of 1:1 Contact Policy, which requires all video conferences to be supervised by a minimum of two professional staff members. Summer virtual programming is set to begin on June 8, 2020.


Parental Consent to Virtual Programming with BGCIndy for Summer 2020 (tentatively starts June 8, 2020)

BACKGROUND INFORMATION

Please type the name of the Club Member.
Please, use the DROP-DOWN MENU by clicking the down arrow icon to open more options.
Click to see the pop-up calendar or type in the date of birth. MM/DD/YYYY.
Please, use the DROP-DOWN MENU by clicking the down arrow icon to open more options.
Please, use the DROP-DOWN MENU by clicking the down arrow icon to open more options.
Please, use the DROP-DOWN MENU by clicking the down arrow icon to open more options.
By signing this form, you are giving permission for your Club member/child to participate in distance-based online Club experiences at Boys & Girls Clubs of Indianapolis.
Please use the email address of the parent/caregiver.

ADDITIONAL CONTACT

Please fill in with the address of the Additional Contact. If it is the same as above, please type again.
Relationship of Additional Contact to child/Member. Example: "Grandmother".
Main phone number of Additional Contact. XXX-XXX-XXXX format.

HEALTH

EDUCATION

Specify the name with Elementary, Middle, or High School (e.g. "Blue Doors Middle School").

MEMBER COMMUNICATION

By clicking "Yes" and entering the email address of the Club Member, you are giving permission for Boys & Girls Clubs of Indianapolis to contact them directly.
By clicking "Yes" and entering the cell phone number of the Club Member, you are giving permission for Boys & Girls Clubs of Indianapolis to contact them directly.

LIABILITY AND SUBMISSION

Use the mouse to sign or by your finger if on a mobile or touch-capable device.
Click to see the pop-up calendar. Make sure it is today's date!
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