If you would like to inquire about your child/children becoming a member(s) of the Boys & Girls Club After School Enrichment Program, please submit the below information and a member of our team will be in touch with you shortly.

Note: Completing the below inquiry does not automatically guarantee your child will be admitted.

*If you have any questions regarding our Miracle 21st Century Learning Centers, click the button below to learn more.

Miracle 21st Century Learning Centers

After School Enrichment Inquiry

"*" indicates required fields

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Has your child ever attended a Boys & Girls Club of Collier County program?*
Which location are you applying for?*
Child Name*
Child Gender*
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Child-2 Name
Child-2 Gender
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Child-3 Name
Child-3 Gender
MM slash DD slash YYYY
Parent Name*
Parent Address