YBS Kids Membership Application Form

YBS Kids Membership Application

Membership for 6th-12th grade students is now open to individuals from all socioeconomic backgrounds who attend school or reside in Plano, TX, and surrounding cities of Dallas and Collin County. To apply, please ensure that all 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*
Signature *

Clear
Please tell us what your child may be interested in learning more about:
Membership
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1-year membershipThe 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

Choose from one of the PayPal options to make your payment.
Should be Empty:

YBS Kids Membership Application