The MISSION: Youth Outreach partnership with Boys & Girls Clubs of America supports kids and teens by creating a positive, supportive network. Through this partnership, dependent youth of active-duty, National Guard and Reserve families are eligible to receive $230 annually toward their Boys & Girls Club daily program fees.

Parents/Guardians must present documents (sponsor ID card) to verify eligibility of youth at their Club Site. Questions? Call the Admin Office at 660-826-8331.

Military Membership Form

    * Organization Name: Boys & Girls Clubs of West Central Missouri:

    * Military Sponsor Name:

    * Branch:

    * Component:

    * Status:

    * Duty Station:

    * Rank:

    * Child’s Name (first and last):

    * Gender:

    * Age:

    * School:

    Child’s Name (first and last):

    Gender:

    Age:

    School:

    Child’s Name (first and last):

    Gender:

    Age:

    School:

    Child’s Name (first and last):

    Gender:

    Age:

    School:

    * Relationship of Sponsor to Dependent Youth:

    * Are your dependent youth enrolled at Boys & Girls Clubs of West Central Missouri?

    How far is your home (in miles) from Boys & Girls Clubs of West Central Missouri?

    * Parent/Guardian Name (first and last):

    * Parent/Guardian Phone:

    * Parent/Guardian Email:

    * Electronic Signature:

    * Date: