Boys & Girls Clubs of Western Pennsylvania Community Learning Hub Wait List Form
Thank you for selecting Boys & Girls Clubs of Western Pennsylvania (BGCWPA) to provide an enriching, fun and safe place for your child to complete their virtual school work and participate in Boys & Girls Club activities. At this time, our current daytime Community Learning Hub programs from 7:30 AM - 3:30 PM are at capacity. To join our wait list, please complete the form below. Responses will be recorded in the order they are received and you will be notified if a spot becomes available.
Email Address *
Phone Number *
Your Name (First and Last) *
Relationship to Child/Teen *
Child's/Teen's Name (First and Last) *
Grade of Child/Teen for 2020-2021 School Year *
Clubhouse of Boys & Girls Clubs of Western Pennsylvania *
Name of School Your Child/Teen Attends
Additional Comments
Submit
Never submit passwords through Google Forms.
This form was created inside of Boys and Girls Club of Western Pennsylvania. Report Abuse