Programs Quick Links

Club Phone Number:

Director of Operations
Paul Barker x 22

Program Director
Robert Kennedy x. 28

Kids Club Director
Jodi Saladino x. 32

Membership Coordinator
Yadiris Gonzalez x. 26


Program Registration Form

  • Child's Information

  • Date Format: MM slash DD slash YYYY
  • Contact Information

  • 1st Contact
  • 2ndt Contact
  • Additional Emergency Contacts

  • 1st Contact
  • 2nd Contact
  • Financial Information

  • Consent

  • Disclaimer

    I do hereby give my son/daughter permission to attend and participate in activities sponsored by the Boys & Girls Club and Creighton Pond Day Camp. I hereby release the Boys & Girls Club, its employees, associated and contributors from liability from any injury, loss or theft incurred by my son/daughter while participating. Furthermore, I hereby authorize medical examination and emergency treatment for my son/daughter by a qualified licensed physician in the event of an accident. I further understand that the Boys & Girls Club has an "Open Door" policy, which means my son/daughter may come and go at will. Further, I give permission for my child's picture to be used in any Boys & Girls Club publications. My signature indicates I completely understand the above statement.