JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Boys & Girls Clubs Alumni
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Email (contact information)
*
Your answer
What is your job/profession/career?
*
Your answer
What Club did you attend?
*
Choose
Indio
Coachella
La Quinta
Mecca
What years did you attend the Club?
*
Your answer
Who was your favorite Staff member and why?
*
Your answer
How did the Club help you or shape you to be the person you are Today?
*
Your answer
If you have a special Club memory or event that stands out for you, please share it below.
Your answer
Do we have permission to share your name and story?
*
Yes
No
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report