Boys & Girls Clubs of Huntington Valley Summer 2019 Registration
Email address *
Child's Name *
Your answer
Today's Date
MM
/
DD
/
YYYY
Desired Start Date (Note: This must be confirmed by the Club's office staff before your child may begin attending the Club. Online registration may take up to 1 full business day to process. For faster processing, stop by the Club during office hours between 7:30am-6:00pm Monday - Friday.) *
MM
/
DD
/
YYYY
Parent's Name *
Your answer
Child's School *
Your answer
Child's Grade (in Sept 2019) *
Your answer
Home Address *
Your answer
Parent Phone *
Your answer
What Boys & Girls Club branch will your child be attending? *
Next
Never submit passwords through Google Forms.
This form was created inside of Boys & Girls Clubs of Huntington Valley. Report Abuse - Terms of Service