Enrollment Forms

Below you will find 4 “fillable” forms to complete your summer enrollment paperwork for BCYC. Please fill out all questions and blanks in their entirety to the best of your ability. The four forms are all listed on this single page, and you will hit submit at the end of each form where you can then scroll down to the next form. If you have multiple children, just refresh this page after you submit the four forms, or you can use the link that was provided in the email that directed you to this page initially.

The four forms are as follows:
1. CACFP Enrollment Form (State Food Program Forms)
2. Child Needs Assessment (State Required Information)
3. Summer 2024 Payment Agreement
4. Photo Refusal Form (only need to submit if you wish for your child to NOT be photographed)

Child Needs Assessment

The state of Texas requires Licensed child care facilities to collect the following information and keep on file.

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My child has environmental Allergies?(Required)
My child has food intolerances?(Required)
My child has an existing illness?(Required)
My child has been injured/hospitalized in the last 12 months?(Required)
My child has limitations or restrictions on their activities?(Required)
My child needs reasonable accommodations or modifications?(Required)
My child has adaptive equipment?(Required)
My child has symptoms or indications of complications?(Required)
My child has medications prescribed for continuous long-term use?(Required)
I give consent for the above named facility to secure any and all necessary emergency medical care for my child.(Required)
I give consent for my child to be transported and supervised on field trips.(Required)
I give consent for my child to be transported and supervised for emergency care.(Required)
I give consent for my child to participate in field trips with prior notice of said field trip.(Required)
I give consent for my child to participate in water play.(Required)
I give consent for my child to participate in sprinkler/aquatic playgrounds.(Required)
I give consent for my child to play in splashing/wading pools.(Required)
I give consent for my child to use swimming pools.(Required)

Summer 2024 Payment Agreement

Please read over the options and select an applicable payment option for summer 2024. Enrollment Fee: $50 Pay-in-Full option: $900 due upfront and payable prior to May 29th. Monthly Payment Option: $380 due 5/29; $380 due 7/1; $180 due 8/1 Semi-Monthly Option: 5 Payments of $200 due on each of the following dates: 5/29, 6/15, 7/1, 7/15, 8/1

Enrollment Fee Disclaimer(Required)
I understand that I will be charged a one-time registration fee of $50.00 at the time of admission to Belton Christian Youth Center.
Payment Breakdown Options(Required)
Unenrollment Disclaimer(Required)
I understand that I am responsible for all payments due to the Belton Christian Youth Center and that failure to complete my payment in a timely manner will result in suspension or dismissal from the BCYC Summer Camp Program. I acknowledge that by signing this agreement I am committing to the entirety of the Belton Christian Youth Center Summer Camp Program. I understand that an unenrollment fee of $150.00 will be added to my BCYC billing account if we unenroll with no prior notice, and that readmission to Belton Christian Youth Center will not be permissible until account is brought into good standing.

Photo Refusal Form

If you have circumstances or wishes for your child to be excluded from photographs or video, please fill out the following form. If you don't need your child to be excluded from photos and videos, then you do not need to fill out this form.

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