Request For Information Form

Thank you for your interest in the Boys and Girls Club programs and activities.

You may submit this form electronically or print off and fax to us at (506) 778-1855. For the print option scroll to the bottom of the form. You will be contacted within 24 hours to discuss your request for information.

I would like more information about:

(check off all that apply)

After School Care

(registration and subsidy information)

Summer Camps

(information and registration)

Evening Programs

March Break Camp

Babysitters Training Program

Being A Youth Leader

Volunteering at the Boys & Girls Club

Jumpstart Funding

Other - please specify below

Full name:

Address:

Postal Code:

Phone (H):

Phone (W):

Phone (C):

Email address:

Ages of Children:

Comments:

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