Boys and Girls Club of Indianapolis Alumni * 1. First Name * 2. Last Name * 3. Maiden Name (If Applicable) * 4. Phone Number * 5. Email Address * 6. Club Attended English Ave/Gorman Salk Park Lauter Atkins Concord Village McKinney/Southside Lilly LeGore Wheeler/Wheeler-Dowe Keenan-Stahl Other (please specify) * 7. Years Attended (i.e.: 1994-1998) * 8. Address * 9. Where are you employed? * 10. How did you learn about our alumni group? * 11. How did your club experience impact your life as a child and/or adult? * 12. Are you interested in volunteering with Boys & Girls Club of Indianapolis? Yes No Maybe (please specify) * 13. Would you like to receive information about future alumni events/activities? Yes No Done
