YBS Kids Membership Form

YBS Kids Membership Application

Membership is now open for students in grades 6–12 from all socioeconomic backgrounds who attend school or reside in Plano, TX, as well as surrounding cities within Dallas and Collin County. Please apply below and ensure that all required fields are completed.
Enter member’s information

Kindly enter the right information about the student
Member's Name*

First NameLast Name
Member's email address*
example@example.com
Member's phone number*
School District*
Current Grade*
Birthdate*

MonthDayYear
Date
T-shirt Size*
We would like to thank them!
Referred by a YBS Kids Member?*
We would like to thank them!
If yes, please type first and last name
Referred By
Parent/Guardian information

Contact Information
Parent/Guardian Name*

First NameLast Name
Cell Phone*
Parent/Guardian's e-mail*
example@example.com
Mailing Address*

Street Address Line 2

CityState

Zip Code
How do you hear about YBS Kids*
Please tell us what your child may be interested in learning more about.
Signature *
My Products
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1-year membership
The 1-year membership fee helps pay for the cost of essential services, including program resources and liability insurance.

$75.00

Total

$0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty:

YBS Kids Membership Application