Boys & Girls Clubs of Grand Rapids Learning Assistance Interest Sign-Up
PLEASE READ CAREFULLY

This form is to register for our Learning Assistance program for children in grades 1-12. The program will begin February 1st and run Monday-Friday from 8:30 am - 5:30 pm. Because of high demand, our Steil location will be supporting students who are 100% virtual. Because of this, they will be closed on Wednesdays to focus on teen programming only. Children must be registered and have a confirmed spot to attend the Club. We are no longer offering drop-in hours. We will be closed Wednesdays for cleaning and staff development.

Once you fill out the form, you will be notified if we have a spot for you. If you receive placement, you must fill out the complete membership application and turn it in with the $5 membership fee per child to secure your spot.

Children will remain in cohorts of 15 or less while at the Clubs. We will assist them with accessing their virtual classes and with any assignments. We will offer activities for gym, art and music, as well as our normal Club programming. We will have breakfast, lunch, snack and dinner available. Masks are required at all times except when eating. Temperatures will be taken each day and children must be fever and symptom free for at least 72 hours before attending the Club. A full description of procedures and rules will be included with the official application.

If you have any questions, please email info@bgcgrandrapids.org.
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Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Email Address
Are your children currently Club members?
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Which Club location would you like to sign up for? *
Number of children attending *
Names, Ages and Grade levels of Children. (We serve grades 1-12) *
School your child(ren) attends
Are your children attending 100% virtual school or hybrid? *
If you selected hybrid, which days will your child(ren) be physically at the school?
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If you selected virtual, how many days per week would you plan to send your child(ren)? (Preference will be given to those attending 4 days)
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Would you plan to send your child(ren) in the morning, afternoon or both?
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