Boys & Girls Club of Massillon

Alumni

Interest

Form

In Honor of Boys & Girls Club of Massillon's 90th anniversary, we would like to recognize and keep in touch with all of those who have walked through our blue doors in the past 90 years. We would also like to stay in touch with our community who might have had club experiences outside of Massillon.

Please fill out the form to receive updates club happenings and upcoming events.

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First Name

Last Name

Phone Number

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Were you a Boys & Girls Club staff or youth member?

Please list the names of the Club(s) you were part of (if none, put N/A)

What year(s) were you involved with the Clubs (if none, put N/A)

Provide us with your most memorable Club story.

In what ways did the Club have a positive impact on your future?

Do you currently have a child/children attending a Club?

Would you like to recieve more information and updates regarding Boys & Girls Club of Massillon?

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