• 2022 Membership Application

  • 1. Member Information

  • 2. School Information

  • 3. Family Information

  • 4. Emergency Contact (Other than Parent/Guardian)

  • 5. Boys & Girls Club Child Pick-up In/Out Privileges (Very Important Information)

  • 6. Additional Information

  • 7. Parental Authorization: Your responses will help us maintain a barrier free, no cost program

  • Clear
  • Should be Empty:
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