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After School Program Membership

Billing Information

Billing information for Youth Speak Collective After School Program

Parent or Legal Guardian

*

First Name

Last Name

Parent or Legal Guardian Email

*

Verify Email

*

Phone/Cell

*

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Monthly Membership Dues

One-time Fee of $35.00 per family is due upon registration. Do not pay this fee with this web page. Submit your family's registration fee and completed Enrollment Form to Youth Speak Collective Staff or at YSC Headquarters located at 444 South Brand Bl., #201 San Fernando CA 91340.

Monthly Tuition for the Youth Speak Collective After School Program is $150 for the first child enrolled per family. If you are enrolling only one child, enter $150 to the right. If you are enrolling more than one child, and you do not know your family's multiple-enrollment rate, call the Youth Speak Collective Main Office (818-890-2928) before you proceed with payment. Tuition auto-payment will post on the 1st day of the month and is non-refundable. Invoices are sent as a convenience and payment must be made even if no invoice is received.

Enrollment cancellation requires 15 days prior notice. Billing will be adjusted to prorated amount.

Membership Dues

*

$

Donation Schedule

Child #1

*

First Name

Last Name

Child #2

First Name

Last Name

Child #3

First Name

Last Name