Boys & Girls Clubs of the River Region

Let's get your child registered

It takes about five minutes. Affordable membership gives access to every program at your home Club: Academic Success, Character & Leadership, and Health & Life Skills.

Safe, every day

Structured hours and background-checked staff mean you always know where your child is and who's watching out for them.

Genuinely fun

Sports, arts, STEM, and field trips. Kids ask to come back. That's what keeps them engaged long enough to grow.

Affordable by design

Membership is priced so cost is never the reason a family says no. Scholarships and sliding-scale support are available.

Registration Form

Boys & girls clubs of the river region

Submitting this form starts your registration. A staff member from your selected Club will follow up to confirm details and finalize membership.

1REGISTRATION

2FORM PREVIEW

Please choose one

Chisholm Club (2612 Lower Wetumpka Road, Montgomery, AL 36110) ♦ (334) 265-2469
West End Club (220 Crenshaw Street, Montgomery, AL 36104) ♦ (334) 263-3371

Gender

Male
Female

Parent/Guardian

Child’s Name:

First

Middle

Last

Child’s Nickname

Date Of Birth

Age

Race

Phone (Home)

Address

Address Line 1

City

State

Zip Code

Father’s Name

Father’s Employment

Father’s Phone (Work)

Father’s Phone (Cell)

Mother’s Name

Mother’s Employment

Mother’s Phone (Work)

Mother’s Phone (Cell)

Who does the child live with?

Number of brothers

Number of sisters

School attended by child

Grade

List chronic physical problems and developmental delays, if any

Name and address of two emergency contacts if a parent cannot be reached:

Name

Phone

Address

Name

Phone

child List Layout

Address

Agreement Between Parent and Boys & Girls Clubs of the River Region

Signature of parent or guardian date

Clear Signature

Date

Club hours: School Year (M-F) 3:00 to 8:00 Summer and School Holidays (M-F) 9:00-5:00

There is a $5.00 Late Fee for every 15 minutes children are picked up late beginning at 5:15 P.M. during the summer and holidays and 8:00 P.M. during the school year.

We follow up

A staff member from your selected Club will call or email within a few business days to confirm details and answer questions.

Finalize membership

We'll confirm current membership pricing for your family and walk through any scholarship or sliding-scale options available.

First day at the Club

Your child shows up, meets their group leader, and starts building friendships and skills that last well beyond the school year.

Your support changes lives

Have a question before you register?

Our team is happy to talk through Club options, hours, or pricing.