Youth Volunteer Corps (YVC) Membership Form

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This Boys and Girls of Alpena program is for 11-18 year old students. We participate in student-led service learning projects that provide a safe, and fun environment while teaching leadership skills, building positive friendships and career exploration opportunities. Transportation is provided from Alpena High School, to the project and back to the Boys & Girls Club of Alpena!
Want more information on the program? Contact Emmy LaFleche, YVC Director at yvcalpena@gmail.com.

Which day(s) would your child be able to attend YVC? *

Monday

Tuesday

Wednesday

Thursday

Friday

Required

Did your youth attend YVC/Club during the school year 2020/2021 or last summer(2021)? *

Yes

Please click this link for the parent/guardian manual. Please review and acknowledge that you understand. https://docs.google.com/document/d/10Lo94c5LVpYaRoTmCqcnzKzLBzVdHKcYRj2njV2Qqic/edit?usp=sharing *

The Parent/Guardian Handbook describes important information about Boys & Girls Club of Alpena, and I understand I should consult the Director of Operations regarding any questions not answered in the document. I have received this document and understand it is my responsibility to read, know, understand, and comply with the policies contained therein and any additions made to it.

Youth's Name *

Youth's Date of Birth *

YYYY

Phone Number *

Address(Including City, State, Zip) *

Youth's Grade *

6th

7th

8th

9th

10th

11th

12th

Required

Race *

Do you receive free/reduced lunch?

Yes

Clear selection

Do you live with both parents? *

Yes

Parent/Guardian(s) Name and Phone Number *

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