Club Academy Registration - Boys & Girls Clubs of Lanier

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Friday, March 12, 2021

7:30am – 5:30pm

Step 1

Confirm your child has a complete 2020-21 Club Membership Application on file

Step 2

Complete the form below. Be sure to click the Submit button when you are done.

Step 3

The Club will contact you to confirm your registration.

Lunch will not be provided. Members will need to bring their own lunch.

2021 Extended Day Registration

2021 Extended Day Registration

Child Name/Nombre del niño/a*
Current Grade/Presente Grado*
School/Escuela*
Desired Location/Ubicación deseada*
Identify location your child will attend.
Allergies/Alergias*
Parent Name/Nombre del Padre*
Phone Number/Numero de telephono*
Address/Dirrecion*
Emergency Contact Name/Nombre del contacto de emergencia*
Relationship to student/Relación con el estudiante*
Phone/Teléfono*