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Office Use Only Date Staff initial Receipt Exp ID Renewal Former Status New 2017/2018 AFTERSCHOOL MEMBERSHIP ENROLLMENT FORM Please complete the form as accurately and completely as possible. The Club discourages bringing any valuable items to the Club such as but not limited to iPods cell phones video game equipment and other electronic devices. Information disclosed to BGCA may include information provided on this membership application and other information collected by Boys Girls Club of...

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