TLC Service Learning - Family & Youth

Young people participate in programs and activities which emphasize their vital role in shaping their community.

Parent's Name(Required)

Youth's Name(Required)

Youth's Grade Level for the 2026-2027 School Year(Required)

School Attending(Required)

Parent's Phone(Required)

Parent's Email(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Please select all dates your teen would be available to attend YLD. This information will help us identify alternative dates if needed.(Required)

August 29

September 26

October 10

Product Name

Payment(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Total

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