Get Started | Leaders Club You must have JavaScript enabled to use this form. Current Teen's Info Parent/Legal Guardian's Info Complete Please answer each question below. Your information will be reviewed by the club advisor and you'll be contacted via email. Location Please select your Leaders Club location. - Select -Albemarle Family YMCABlocker Norfolk Family YMCACurrituck Family YMCAEastern Shore Family YMCAEffingham Street Family YMCAGreat Bridge/Hickory Family YMCAGreenbrier Family YMCAHilltop Family YMCAIndian River Family YMCAIndian River Middle SchoolJames L. Camp Jr. Family YMCAKempsville Middle SchoolLarkspur Middle SchoolMt. Trashmore Family YMCANorthampton County YMCAOuter Banks Family YMCAPrincess Anne Family YMCASuffolk Family YMCATaylor Bend Family YMCAYMCA at JT's Camp GromYMCA of PortsmouthYMCA of South Boston & Halifax CountyYMCA on Granby Name First Name Last Name Age Date of Birth Teen's Email Address Teen's Phone Grade - Select -6th7th8th9th10th11th12th School Name Please list any allergies you may have that we need to know about. Briefly, what are you looking to get out of joining Teen Leaders Club?
