Park Manor Boys & Girls Club Membership

Boys & Girls Clubs of Chicago will once again be offering after-school programming this school year!

You may submit an interest form available below or you can reach out to the Club Manager to pick up a membership application. To schedule an appointment to pick up a form, please either call 331-256-0666 or email jmerritt@bgcc.org.

Please note that submitting an interest form or an application does not guarantee your child a spot at the Club. You will be notified if a spot is available for your child. At that time, you will be asked to complete additional steps to confirm your child’s registration.

Thank you for your interest in the Club’s after-school program!

Park Manor Club Membership Interest Form
Confidentiality: Any confidential information requested is for our records and for the funding our organization receives. The answers you provide will be kept confidential. Your cooperation in providing this information is both appreciated and necessary. Required fields are denoted with asterisks.
Member Information
Child's Name (required)*
First Last
Child's School (required)*
Child's Grade (required)*
Parent/Guardian(s) Information
Parent/Guardian Name (required)*
First Last
Address (required)*
Street Address City State ZIP Code
Preferred Email Address (required)*
Parent/Guardian Mobile Number*
Parent/Guardian Home Number
Parent/Guardian Work Number
Relationship (required)*

Park Manor Boys & Girls Club Membership

Park Manor Club Membership Interest Form

Member Information

Parent/Guardian(s) Information