GenNext Enroll

Welcome to AGBU GenNext! This is the first step to register your child(ren) in a meaningful after school experience that will build self-confidence and life skills. Please take a few moments and fill out the form below. You will receive a follow up email with an Enrollment Packet thereafter. Participation is free of charge and will be confirmed upon receipt of your child(ren)'s completed and submitted forms.

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Parent Information

Title

First Name

Last Name

Cell Phone Number

Street Address

Street Address Line 2

City

Postal Code

Country

State/Province

Affiliate Category

Affiliate Subcategory

How many children are you enrolling?

Child 1

First Name

Last Name

Birth Date

Enter year/month/day

Grade

School Name (optional)

Use this space to include any information that you find helpful.

Alumni Category

Alumni Year

Child 2

First Name

Last Name

Birth Date

Enter year/month/day

Grade

School Name (optional)

Use this space to include any information that you find helpful.

Child 3

First Name

Last Name

Birth Date

Enter year/month/day

Grade

School Name (optional)

Use this space to include any information that you find helpful.

Child 4

First Name

Last Name

Birth Date

Enter year/month/day

Grade

School Name (optional)

Use this space to include any information that you find helpful.

Alumni Category

Alumni Year

To find out if your employer has a corporate matching gift program, click here.

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GenNext Enrollment Form

GenNext Enrollment Form

Parent Information

Child 1

Child 2

Child 3

Child 4

Participate

Connect

Events

What's New

GenNext Enrollment Form

GenNext Enrollment Form

Parent Information

Child 1

Child 2

Child 3

Child 4

Participate

Connect

Events

What's New

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