BOYS & GIRLS CLUBS OF SOUTHWEST COUNTY: ALUMNI REGISTRATION

Alumni Registration

Alumni Registration Form

First Name:

Last Name:

Street Address:

City:

State:

Zip Code:

Email address:

Verify email address:

Home phone:

Birthdate:

Marital status:

Job title:

Employer name:

Business phone:

High school:

Graduation year:

College:

Graduation year:

During which years were you a member of the Boys & Girls Club?

Which Boys & Girls Club did you attend?

Tell us how your Boys & Girls Club membership impacted your life:

Check here if you wish to remain anonymous in Boys & Girls Clubs of Southwest County publications:

Yes





	47% of Club members come from single-parent households.