Registration is now open for Boys & Girls Club of Mt. Vernon After School Program
Parents must submit a complete registration for each child who wants to register for the After-School Program.

Registration Form
Parents must complete the Registration form and submit it with a $100 non-refundable registration fee for each child. The Registration Form contains several parts.

General Information
Parents must complete the first page of the application and include email addresses so that we can keep you updated with Club information.

Club Member Medical Information
​This form is to be completed by parent or guardian. Please answer these medical questions about your child.

Consent Form & Policies
Parents must read and sign the Consent Form.   The signed consent form must be submitted as part of the Registration Form.  You keep the Policies.

Physician Form
Each child will need an updated Physical and Immunization Record that is not more than one year old.  Most doctors have their own forms.  If your physician does not have his/her own form, you can give the doctor this form to complete.

Click here for the registration form