Cccsb T.g.i.f. Power Club Application Form (Page 4 of 4) in pdf

Cccsb T.g.i.f. Power Club Application Form Page 4

bras a nd p ants s hould f ully c over u nderwear o r b oxers. S kirts a nd s horts m ust b e a s

long a s y our t humb f inger w hen h ands a re p laced t o y our s ide.

• Not t o u se a ny e lectronic d evices t o t ake p ictures o r r ecord o ther s tudents o r a ny

staff m embers w ithout p rior c onsent. F urthermore, t he p osting o f p hotos/video o n

any s ocial m edia s ite w ithout s tudent a nd/or s taff c onsent i s p rohibited.

• Not t o u se c ell p hone, g aming d evices o r o ther e lectronic d evices t o p lay v ideo

games d uring c lub h ours o r c hurch o perating h ours.

• Not t o b reak a ny c lub r ules. T hey i nclude b ut a re n ot l imited t o t he f ollowing:

o Riding B icycles, S kateboards, o r S kates o n C CCSB

o Inappropriate R emarks/Behavior/Attitude/Rudeness

o Stealing

o Vandalism

o Fighting

o Possession o f C ontrolled S ubstances, M atches/Lighters o r O ther

Inflammables o r w eapons.

• I u nderstand t hat o ne o r m ore o f t he f ollowing c onsequences w ill r esult i f I b reak

club r ules:

o Parent C ontact

o Suspension

o Referral t o L aw E nforcement o r O ther C ommunity A gencies

o Expulsion

Student N ame: _ ________________________

Student S ignature:_______________________ D ate:___________________________

Other n otes: I f y ou w ould l ike t o l et t he t utors k now m ore a bout y ou b efore t he f irst

club m eeting, p lease f eel f ree t o w rite i n b elow s pace.

Cccsb T.g.i.f. Power Club Application Form Page 4