Community Programs
Email address *
Select Your Students Program
You can only enroll your child in one program at a time. An individual enrollment is required per child.
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Required
About Your Student
We want to learn more to prepare your child for a great experience.
Student Name
Your answer
Name of sibling(s) that will be enrolled (enrollments must be done separately) *
Your answer
School Name
Rising Grade Level *
DOB *
Your answer
Mothers Name *
Your answer
Mothers Primary Email Address *
Your answer
Fathers Name *
Your answer
Fathers Primary Email Address *
Your answer
Address *
Your answer
Primary Contact Number *
Your answer
Emergency Contact Name and Number *
Your answer
Tell us about your child. What is your child interested in? What does your child like or dislike ? *
Your answer
Are there any medical notes that we should know about? *
Your answer
Did your child make the honor roll? *
How is your child's conduct? *
SAFTEY IS IMPORTANT TO GK
Pick Up Password (Make up any password combination that you will use to text when picking up your student from GK after school. If someone will pick up your student, please be sure to give them your students pick up password) *
Your answer
Pick Up Authorization 1 *
Your answer
Pick Up Authorization 2 *
Your answer
GK After School Program Fees
The cost for any GK program is $75 per week, per child. If your child needs transportation to the program, that rate is $98 per week (register before July 15th, the program fee with transportation is reduced $86.50 per week), per child. There is a one-time registration fee per student, of $75 to secure your students spot. All fees are nonrefundable. Weekly fees are not prorated for days that school is not in session. Weekly fees are NOT deducted for Christmas break, Spring break or Thanksgiving. A $5 sibling discounts will automatically apply toward weekly program fees.
Do you agree to the weekly reoccurring fees and the one time registration fee outlined above? *
Summer Camp Fees
The cost for the summer camp DAY schedule (Mon.-Fri. 7:30a-3p) is $125 per week, per child. The EXTENDED day schedule (Mon.-Fri. 7:30a-6p) $155 per week, per child. There is a one-time registration fee per student, of $75 to secure your camper. All fees are nonrefundable. A $5 sibling discounts will automatically apply toward weekly program fees.
Do you agree to the weekly reoccurring fees and the one time registration fee outlined above? *
Select a Camp Schedule *
CC Information:
Your information is safe and secured.
Name on Card *
Your answer
Card Number *
Your answer
Exp. Date *
Your answer
CVV (3 digit number on the back of your card) *
Your answer
Address linked to the card *
Your answer
Participation Waiver and Consent
IN CONSIDERATION OF my child listed within this form, being allowed to participate in any way in the Gathering Kids After School Program related events and activities through the Gathering Outreach Community Center and ALVIN ISD acknowledges, appreciates, and agrees that: The risk of injury to my child from the activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and, FOR MYSELF, if applicable; SPOUSE AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, and assume full responsibility for my child’s participation; and, I willingly agree to comply with the program’s stated and customary terms and conditions for participation. If I observe any unusual significant concern in my child’s readiness for participation and/or in the program itself, I will remove my child from the participation and bring such attention of the nearest official immediately; and,
I myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Gathering Kids, Gathering Outreach Community Center and ALVIN ISD its directors, officers, officials, agents, employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to my child’s involvement or participation in these programs. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS.
Do you consent to the participation and waiver above? *
Permission to Transport (This is for students that will be transported during the school year)
I give permission for my child to be transported in a motor vehicle (bus), driven by a competent adult representative of a company or a sole competent adult driver designated by The Gathering Outreach Community Center or Alvin ISD. I understand that my child is expected to follow all applicable laws regarding riding in a motor vehicle and is expected to follow the directions provided by the driver and/or other competent adult volunteers. I have read, and discussed with my child that: (1) They will be traveling in a motor vehicle driven by an adult and they are to wear their safety-belt while traveling; (2) They are expected to respect each other, the vehicles they ride in, and the people they travel with during the trip; (3) Riding in a motor vehicle may result in personal injuries or death from wrecks, collisions or acts by riders, other drivers, or objects; and (4) They are to remain in their seats and not be disruptive to the driver of the vehicle. I assume any expenses or damages that may be incurred in the event of an accident, illness, or other incapacity, regardless of whether I have authorized such expenses. I hereby RELEASE AND AGREE TO INDEMNIFY AND HOLD HARMLESS Gathering Kids Alvin ISD, the school staff, coaches, volunteers from any and all liability for injuries, damages, medical expenses, or any other loss to my child or family or me (including attorneys’ fees) arising from or related to my child’s participation.
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Required
8 Weeks of Camp
There is a 4 week camp minimum for all registrations
Select Your Camp Weeks *
Required
What date you would like your student to start on? *
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Are you interested in volunteering opportunities? *
Required
By typing your name below, you agree to the registration terms for the student listed within this form. *
Your answer
A copy of your responses will be emailed to the address you provided.
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