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YLSBC New Member Registration Form 2023-2024
This application is for new youth members who would like to enroll in YLSBC's programs for school year 2023-2024
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* Indicates required question
Email
*
Your email
Youth's Email address
*
Your answer
Youth's Name
*
Your answer
Youth's Date of Birth
*
MM
/
DD
/
YYYY
Parents' Names
*
Your answer
Home Phone Number
*
Your answer
Youth's Cell Number
*
Your answer
Parent's Cell Number
Your answer
Parent's Email Address
*
Your answer
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