Member Information:

    Health History

    Insurance Information

    Parent / Guardian Information:

    Primary Contact
    Secondary Contact

    Authorization for Pick Up / Emergency Contact:

Boys & Girls Club of Greater Haverhill

​55 Emerson Street
Haverhill, MA 01830
tel: 978.374.6171
fax: 978.912.7522
email: [email protected]
Visit Us on Social Media
Club Hours

​Club Open M-F from 2:00pm to 7:00pm

Club abierto lunes-viernes de 2:00pm a 7:00pm p.m.
Front Lobby opens at 11:00am

El vestíbulo delantero abre a las 11:00am.m.
© 2025 Boys & Girls Club of Greater Haverhill
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