Skip to content
Home
Programs
Menu Toggle
Membership Forms
Club Calendar
All Year Programs
Summer Camp
About
Menu Toggle
Our Mission
Child Safety
Who We Are
Join Our Team
Other Ways to Support Us
Athletics Program
Menu Toggle
BGCUV Athletics
🏀 Basketball
🏈 Flag Football
🥍 Lacrosse
🏐 Volleyball
Events
Menu Toggle
2025 Umpqua Uncorked & On Tap
17th Annual Celebrate Kids
Main Menu
Home
Programs
Menu Toggle
Membership Forms
Club Calendar
All Year Programs
Summer Camp
About
Menu Toggle
Our Mission
Child Safety
Who We Are
Join Our Team
Other Ways to Support Us
Athletics Program
Menu Toggle
BGCUV Athletics
🏀 Basketball
🏈 Flag Football
🥍 Lacrosse
🏐 Volleyball
Events
Menu Toggle
2025 Umpqua Uncorked & On Tap
17th Annual Celebrate Kids
Tell us why you love the Club in a short 250 word essay an qualify to win a brand new XBOX!
Please Verify if you are a TEEN or FAMILY participating.
I am a TEEN
I am a FAMILY
Name
Email
Phone number
My child or Myself is currently enrolled in the Boy's & Girls Club program. Please give information on all enrolled member in the household. If you only have one participating club member or are submitting as a TEEN member please only complete information for one.
Member's Name
Members grade
Members Name
Members grade
Members Name
Members grade
Members Name
Members grade
What makes the Club special to you? Please write a 250 word essay:
AGREEMENT
I agree that the provided information is accurate and although will be kept confidential, can be used to better the club through grant and/or additional funding opportunities. *IF I AM A TEEN I AGREE THAT I HAVE MY PARENT/GAURDIANS PERMISSION TO COMPLETE AND SUBMIT THIS FORM.
Submit