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Membership

Memership Renewal

Membership Renewal
First Name *
Last Name *
Primary Contact Email
Any changes to the PRIMARY CONTACT's email?
Changes to the Primary Contact's Phone Number
First Name *
Last Name *
Grade
Member 2
Grade
Member 3
Grade
Additional Members Names
Grade(s)
Change of Address?
Current Address (if changed from last year)
Updates to Member's Emergency Contact List?
These contacts are ALLOWED to pick up members
These contacts are NOT allowed to pick member(s) up under any circumstances
Changes to Member's Allergy or Medication List?
Changes to Member's Lunch Status?
Updated Lunch Status

All members, including returning members, but have approved our Authorization Agreement each year. Please read through the document here and type your name below to confirm your authorization.

For the purpose of this form, typing your name below acts as your signature of authorization.

As a reminder, we have limited availability in each age group. Submitting this form is not a guarantee of renewal. Your renewal is not  final until the front desk has accepted your application and your annual membership fees and first quarter activity fees have been paid. Questions? Please call the front desk at 513-860-1923.

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Our mission is to enable all young people, especially those who need us most, to reach their full potential as productive, caring and responsible citizens.

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