Summer 2024 Membership

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This summer we will focusing our weekly camps that explore different career pathways.

Each week will be a different field of study and the youth will have a hands-on experience to have a final project at the end of each week.

Spaces are limited, so please sign up for weeks that your youth will be in attendance.

Summer will run from June 10th-August 16th (CLOSED ON JULY 4th and 5th)

Our hours will be Monday-Friday 12p- 6p

Serving youth ages 5 (and enrolled in K) - 18yo

We are updating our records, so all youth must fill out a full membership form this summer!

We will have paid Community Partnership Programs again this year, however registration will be separate and released by the end of April.

Email *

Youth First Name *

Youth Last Name *

Youth's T-Shirt Size (Please indicate whether it is youth or adult) *

Youth's Identifying Gender? *

Male

Female

Non-Binary

Prefer not to say

Youth's Date of Birth *

YYYY

Address(PLEASE INCLUDE City, State, Zip) *

Primary Guardian/Contact First and Last Name *

Primary Guardian/Contact Phone Number *

Primary Contact Relationship *

Secondary Guardian/Contact Name

Secondary Guardian/Contact Phone Number *

Secondary Contact Relationship

List first and last names of individuals (other than guardians) authorized to pick up youth. They will be required to show ID upon pickup.

School *

Youth's Age *

What grade will your child be attending during the 2024-2025 school year? *

Race *

Member lives with *

Do you receive free/reduced lunch? *

Yes

Have you ever been a member of this club before? *

Yes

Current or Ex Military? *

Yes

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