Chemung County Youth Bureau

Summer Cohesion On-line Registration

Drop-In Program AcknowledgementThe Chemung County Summer Cohesion Program is a DROP-IN recreation program. Pre-registration, although helpful for program planning is not required. All children will be served on a first come, first served basis. Summer Cohesion is not responsible for maintaining a slot on any particular day for any particular child. Summer Cohesion has no responsibility for monitoring a child's attendance, arrival, and/or departure from the program.

Unattended Child PolicyProgram hours of operation for Summer Cohesion are 8:00AM to 2:00PM. Summer Cohesion staff is not responsible for the supervision and care of your child before 8:00AM or after 2:00PM. Any reoccurring instances of children left on site before 8:00AM and after 2:00 PM will be brought to the attention of the Program Coordinator, parent/guardian, and may possibly result in the termination of the child from the program. In extreme situations where the parent cannot be reached, Department of Social Services and local law enforcement will be contacted.

Parent/Guardian Authorization

Summer Cohesion is responsible for the reasonable supervision of your child when he/she is with us. Summer Cohesion will not be held responsible for any injuries and associated costs that stem from accidents that occur during the program. Please do not bring your child to Summer Cohesion when they are ill. Please be advised that the Summer Cohesion Program does not administer medications.

Understanding the above, I release, absolve, indemnify, and hold harmless Chemung County, the Summer Cohesion Program, it’s supporting agencies, its staff, advisors, and volunteers.

This health information form is correct to the best of my knowledge, and the person herein described has permission to engage in all prescribed program activities, except as noted by me. In the event I cannot be reached in an emergency, I hereby give my permission to the Summer Cohesion Program to secure proper treatment for my child as named above.

Mass Notification PolicyI am voluntarily opting to provide Chemung County with a cell phone number that it may use to contact me with emergency and non-emergency information via phone calls or text messages. I recognize that data and rates may apply to this use, and I authorize use of this number and waive reimbursement of any costs I may incur.
Yes
No
Phone Number must be numeric and include the Area Code
No Refund Policy

Under no circumstances will a refund be issued for all or part of the Summer Cohesion Activity Fee by the County of Chemung.

Please select the number of children you are signing up
Valid Email Address is required
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