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Afterschool Participant Form

  1. Participant and Class Information

  2. Is your child a Boys & Girls Club member?*

  3. If so, I authorize my child to walk to the Boys & Girls Club after class:

  4. Parent/Legal Guardian Information

  5. Individuals authorized to pick up my child from the City of Malibu Enrichment Programs

  6. Medical Information

  7. Photo/Video Release

  8. I have read the photo and video release form and give my consent to the City of Malibu*

  9. Signature

  10. Leave This Blank:

  11. This field is not part of the form submission.