After School Application 2022-2023
Please fill out the form below to register your student for After School Program 2022!  

Fall Semester: August 22 – December 31
Spring Semester:  January 9 - May 31
Afterschool Sessions 3 p.m. to 6 p.m.

...
School Year is $65 per child.
Transportation fee is $65 per child per semester
Payments can be made via:
PayPal: jaxbgc
JBGC Site: [Accepts cash, money order, or square]

...
Once your registration is complete, you will be able to make your payment after their enrollment.

...
Slots are limited!!

Parent/Guardian Orientation attendance is required! Parent/Guardian orientation dates: August 18th or 19th from 10:00 a.m. to 2:00 p.m.

Please contact us if you have any questions 501-982-4316


Sign in to Google to save your progress. Learn more
Email *
Student Name *
Student Gender *
Student Ethnicity *
Student DOB *
MM
/
DD
/
YYYY
Student SSN *
Student Age *
Student Grade *
Student School *
Will your student need transportation from their school to the Boys & Girls Club?  There is an additional $65 per child per semester. *
Has your student previously attended the Boys & Girls Club of Jacksonville?  *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Boys & Girls Club of Jacksonville. Report Abuse
Google Forms