BGC Jackson - Parent Interest Form (East Unit)
Thank you for your interest in the Boys & Girls Club of Jackson! We enroll youth ages 5-18 years old. Please complete and submit the form below. (*Must have COMPLETED kindergarten)
Parent/Guardian's Name
First Name
Last Name
Child's Name
First Name
Last Name
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Date of Birth
-
Month
-
Day
Year
Date
Child's Age
Child's Current School Grade
Child's T-Shirt Size
Completed Kindergarten
Yes
No
School's Name
Additional Information/Questions:
Apply here
Should be Empty: