2023-2024 ELOP Registration Entry
This form is for all middle school students in TVUSD interested in the after school Expanded Learning Opportunities Program for 2023-2024. Completing this form does not guarantee enrollment. TVUSD will review all entries approve registration. You will be contacted by a Boys & Girls Club of Southwest County (BGCSWC) staff person regardless of eligibility. Please note, any questions regarding eligibility must be directed to TVUSD. Any program specific questions, can be directed to BGCSWC. 

If you were in ELOP for the 2022-2023 school year, you must reapply again. 

Please ensure your email and phone number are correct prior to submission. We will attempt to contact each email/number twice then will continue to the next on the list. Please check your spam/junk for any emails from @bgcswc.org. 

If you are deemed eligible and you plan to pursue program enrollment, you will be required to complete a Membership Application and Registration Packet prior to starting the program. These forms will be emailed to you upon approval.

Thank you and we look forward to serving you for the 2023-2024 school year!
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Email *
School Site *
Member Last Name
Member First Name *
2023-24 Grade Level *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Ethnicity *
Required
Parent/Guardian (Primary Contact) NAME *
Relationship to Member *
Lives in Same Household as Member *
Employer  *
Work Address
Work Phone *
Cell Phone *
Parent Guardian (secondary contact) NAME
Relationship to Member
Employer
Work Phone
Cell Phone
Emergency Contacts AND Phone Numbers (only people listed on this form will be authorized to pick up children) *
Annual Gross Household Income *
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