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For office use only Bernie & Bernice Baker Club Hyatt Middle School 1214 E. 15th St. Des Moines, IA 50316 (515) 2427336Date Received: ___ Entered by:___ Form of Payment $___ or ck___ ck#___SCHOOL
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The purpose of Boys & Girls Clubs is to provide young people with a safe place to learn and grow, and to offer programs that promote academic success, good character and citizenship, and healthy lifestyles.
Financial information, program information, and demographic information of the members must be reported on Boys & Girls Clubs.
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