Club Number
Church/Christian organization Name
Counselor Name & Address
Phone Number
Email Address
Program Level
|
Example:
4217
Byron Center Friendship CRC
Michele VanStedum
1333 Alger St
Grand Rapids, MI 49510
616-000-000 michele@gemsgc.org
Club Coordinator
Mary
Smith
PO Box 7259
Grand Rapids, MI 49510
123-456-7890
servicecenter@gemsgc.org
Advanced Level |