Payment Form
This form allows families to pay weekly fees online for the 2024 Summer Program. Membership forms and all other registration must be filled out and confirmed in order to utilize this form. Payment MUST be received prior to the start of the week of attendance for your child.
Today's Date
-
Month
-
Day
Year
Date
Payment for the week of:
Please Select
June 10-14
June 17-21
June 24-28
July 8-12
July 15-19
July 22-26
July 29-Aug 2
Aug 5-9
Aug 12-16
Aug 19-23
Member Name
First Name
Last Name
Parent Name
First Name
Last Name
Email
example@example.com
Phone Number
I acknowledge that by completing the payment process, I understand and agree to the policies of the Boys & Girls Clubs of Barron County regarding refunds and account credits. I understand that the Boys & Girls Clubs of Barron County may not be able to issue refunds for payments made. In the event of a non-refundable payment, I agree that the remaining payment will be placed as credit in the member's account to use at another time. Additionally, I acknowledge that the Club is not responsible for holding payments to certain weeks, and any funds in the member's account will be used to pay balances regardless of the requested week the fund was paid. By clicking yes, agree to these terms and conditions.
*
YES
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Lincoln Clubhouse - Weekly Fee
Enter description
$
50.00
Quantity
Middle School - Weekly Fee
$
10.00
Quantity
Annual Registration Fee
Required for members who were not enrolled during our 2023-2024 school year session.
$
20.00
Quantity
Summer Session Fee
This fee is required before members attend our summer program. This fee includes Club gear such as: a Club shirt, water bottle, and gym bag.
$
15.00
Quantity
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
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