2021-2022 SCHOOL YEAR MEMBERSHIP APPLICATION - WAITLIST
The following information is required for membership at Boys & Girls Clubs of Hernando County.
This information will not be used individually but grouped and used for securing and maintaining local, state, and federal funding sources, including donations and grants. All information is held strictly confidential.
Please enter the following information for the Child you are enrolling as a Member of the Boys & Girls Clubs of Hernando County:
Please note that if there is a court order pertaining to a parent/guardian and contact with a member, you MUST provide a copy of the court order to the Unit Director. We cannot, by law, restrict access to a child by a parent without a valid court order. You may upload a copy of a court order using the upload button below, prior to submitting your application.