2024-25 Club Questionnaire

Please fill out this form and click submit.

Complete the location/venue name for the "Last Name" field please. Your name should be placed in the Coordinator Field!

Name

Address

Coordinator Name

Your preferred email

This address will receive a confirmation email

Admin Assistant

What email should the registration notification emails go to

Additional email addresses to receive notification

My club accepts grades

Please select one option.

K-5th 1st-5th 2nd-5th; 1st for siblings 2nd-5th Other

My club has a limit to the number of registrations I can take - Unlimited if left blank

Students from my club can have the following options for after club.

Please select one option.

Car rider - picked up by parent/guardian Walk home Picked up by parent Left with Facility Admin Other - list in special needs field below

I have other special needs on my registration which were not listed above and they are.

Club Start Date

Winter End Date

January Start Date

Club end date will be the week of April 28, 2025 for schools.

Club End Date

Day of the Week

Please select one option.

Monday Tuesday Wednesday Thursday Friday

Start Time

End Time

Club location in the facility

Club Facility Contact Name

Club Facility Contact Position

Club Facility Contact Email

Club Facility Contact Phone

Please describe below how and when it is best for a volunteer or GNC Staff member to arrive and park. i.e. Will the parking be closed off for bus traffic or car rider line, Should you arrive before a certain time, Is there a best entrance, Is there a best parking lot, etc.

Parking Directions

Notes-Things we should know

Description

Please fill out this form and click submit.

2024-25 Club Questionnaire

Description

Please Fix the Following