MYO ENROLLMENT FORM
Mission: Youth Outreach memberships are an opportunity for children & dependents of active duty, guard, and reserve youth to get free access to Boys & Girls Club facilities & programs.  You will be contacted by a BGC staff after completing the registration form to help get set up with the membership and give you more information about specific programs.  All information collected is for verification purposes only. If you have any questions, please email megan@bgcstoneham.org

MYO Membership currently includes the following:
Daily Drop-In programs at Clubs and Teen Centers (Ages 7+)
One week of summer camp (Ages 5+)
Summer Pool Membership (Family Membership)
All other benefits of Club Membership like special open gym times, travel sports, teams, and special events.

Benefits may be added or removed periodically, please check in at myo@bgcstoneham.org if you have any questions or for the latest information.
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Is this a New Club Membership or Membership Renewal?  *
Required
Military Sponsor Name *
Do you agree to show your sponsor ID card to verify your membership? Please bring your ID card the first day you visit the pool or club location.  *
Branch *
Status *
Duty Station *
Rank *
Youth 1 First & Last Name, Age & Gender *
Relationship of Sponsor to Youth 1 *
Youth #2 First & Last Name, Age & Gender *
Relationship of Sponsor to Youth #2 *
Youth #3 First & Last Name, Age, Gender *
Relationship of Sponsor to Youth #3 *
Are your dependent children registered/ enrolled at a Military Youth Center? 
Clear selection
How far (in miles) is your home from your installation youth center?  - write UNSURE if needed. 
Parent Guardian Contact Name                                            *can be different from military sponsor *
Contact Phone *
Contact Email *
Mailing Address *
How did you hear about the MYO membership?
All the answers provided are true and accurate to the best of my knowledge *
Required
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This form was created inside of Boys & Girls Club of Stoneham.