Boys & Girls Clubs of Central Georgia | Virtual Club Consent Form
DIRECTIONS | Please complete the form below.  Forms must be completed and submitted prior to your child(ren)'s participation in the Virtual Club.  Families can submit the entire household on one form.  

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Read the letter below before completing the form.  Then, click "YES, I read the letter" to continue. *
What is your name? *
What is/are your child/children's name(s)? *
I, parent/guardian, of my child(ren) (named above), give permission for him/her/them to participate in distance-based online Club experiences at Boys & Girls Clubs of Central Georgia's Virtual Club. *
By clicking, "Yes, I grant permission" above, I have read and understand the Boys & Girls Clubs of Central Georgia's Virtual Club Consent Letter.  I agree my electronic signature, which I will type below, shall have the same force and effect as my written signature. *
Enter today's date below. *
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