Donation Form

Membership Payment

School Year: September - May

Drop - In Program Ages 6 - 18

& Licensed Child Care Program Ages 5 - 12

Summer Programs: June - August

Drop - In Day Camp Ages 6 - 12

Licensed Child Care Program Ages 5 - 12

Approval into the program will not be finalized until membership application is completed. Please call to schedule an appointment to pick up an application.

Membership Information

Amount

$220 per child/Summer Program

Type of Donation

One Time Payment MembershipRecurring Payment (Licensed Child Care)

Contact Information

Parent First Name

Parent Last Name

Child Name(s)

Address

Address 2

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Work Phone

Payment Information

Payment Options

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

City

State/Province

Zip/Postal Code

Springfield Boys & Girls Clubs
481 Carew St.
Springfield, MA 01104
413-732-7201
[email protected]

Privacy Policy
We keep your personal information private and secure. When you make a payment through our site, you provide your name, contact information, payment information, and additional information related to your transaction. We use this information to process your payment and to ensure your payment is correctly credited to your account.

The Springfield Boys & Girls Club provides, in a safe environment, programs that inspire, educate, guide, enable and support all young people to realize their full potential as productive, responsible,respectful citizens and leaders.