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.
* Required
Email Address
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Your answer
Phone Number
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Your answer
Your Name (First and Last)
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Your answer
Relationship to Child/Teen
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Your answer
Child's/Teen's Name (First and Last)
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Your answer
Grade of Child/Teen for 2020-2021 School Year
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Your answer
Clubhouse of Boys & Girls Clubs of Western Pennsylvania
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Carnegie
Estelle
Northern Area
Orchard Park
Name of School Your Child/Teen Attends
Your answer
Additional Comments
Your answer
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