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Summer 2026
Summer 2026
Please ensure all answers are correct.
*
1.
Child Full name
(Required.)
*
2.
Has your child attended our program in the last two years? (Summer 2024- Fall 2025-2026)
(Required.)
Yes
No
Other (please specify)
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3.
(Not current Grade) Child Grade in Fall 2026-2027
(Required.)
TK
K
1
2
3
4
5
6
7
8
9
10
11
12
*
4.
Please select all that apply.
My child has...
(Required.)
IEP
504
Inhaler
Epi-Pen
Benadryl
None of the above
More than 1 item
*
5.
Member T-Shirt Size
(Required.)
Youth-Extra Small (TK/K ONLY)
Youth-Small
Youth-Medium
Youth-Large
Youth- Extra Large
Adult- Small
Adult-Medium
Adult- Large
Adult- Extra Large
Adult-XX Large
*
6.
Parent Name
(Required.)
*
7.
Parent Phone Number
(Required.)
*
8.
Parent Email
(Required.)
*
9.
Months of Interest (Billing Purpose)
(Required.)
June 2026
July 2026
August 2026
*
10.
In order for Boys & Girls Clubs to accept my enrollment...
(Required.)
1. I MUST pay all my existing balances.
2. If returning member, I have checked my ProCare account to ensure that all my information is correct.
3. I understand that I must pay a
Non-Refundable-Non-Transferable $135 Summer Deposit
(Club T-Shirt included) one-week after being invoiced to officially secure my spot.
4. I understand that the remainder of my balance is due by May 29th, 2026.
5. I understand that as a new parent/ guardian I must attend a Mandatory Orientation in order to begin services.
Send me a copy of my responses via email