Apply to Become a Member – 2020-21 School Year

If you would like to apply your child/children for the 2020-21 After School Program, please submit the below information and a member of our team will be in touch with you shortly.

Note: Completing the below application does not automatically guarantee your child will be accepted. Our Membership Team will be in contact with families who are selected to complete the registration process.

2020-21 After School Application

Today's Date*
MM slash DD slash YYYY
Has your child ever attended a Boys & Girls Club of Collier County program?*
- Yes
- No
Which location are you applying for?*
- Nichols Club in Naples
- Bolch Club in Immokalee
Child Name*
First Last
Child Gender*
- Male
- Female
Child Date of Birth
MM slash DD slash YYYY
Child Age*
Child School*
Child Grade (2020-21 School Year)*
Child-2 Name
First Last
Child-2 Gender
- Male
- Female
Child-2 Date of Birth
MM slash DD slash YYYY
Child-2 Age
Child-2 School
Child-2 Grade (2020-21 School Year)
Child-3 Name
First Last
Child-3 Gender
- Male
- Female
Child-3 Date of Birth
MM slash DD slash YYYY
Child-3 Age
Child-3 School
Child-3 Grade (2020-21 School Year)
Parent Name*
First Last
Parent Email*
Parent Home Phone
Parent Cell Phone*
Parent Address
Street Address Address Line 2 City State ZIP Code
CAPTCHA

Become A Member

Become a Member – Summer 2020
- Summer Camp Options & Fees
Become a Member – 2020-21 School Year
- Apply to Become a Member – 2020-21 School Year

Upcoming Events

Oct 18

Great Futures Start Here Luncheon

11:30am - 1:30pm

View Great Futures Start Here Luncheon
Nov 06

18th Annual FORE-the-Kids Golf Tournament

10:00am - 7:00pm

View 18th Annual FORE-the-Kids Golf Tournament
Feb 22

Youth of the Year Celebration

5:30pm - 9:00pm

View Youth of the Year Celebration