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Youth Membership Renewal application
Youth Leadership Society of British Columbia
3096 Robson Drive, Coquitlam, B.C., Canada
Email:
ylsbc@ylsbc.org
Tel/Fax: 604 941 1317
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* Indicates required question
School Year 2023-2024
*
Yes
Youth 's Name
*
Your answer
Youth's Date of Birth
*
Your answer
Youth's Email
*
Your answer
Parents' / Guardian's email address
*
Your answer
Parent's / Guardian's Cell phone number
*
Your answer
Youth's Cell phone number
*
Your answer
What program(s) offered by YLSBC are you interested to continue with.
*
Your answer
I have paid the membership fee as follows;
*
Through secure payment portal at YLSBC's website
E-transfer by email to
ylsbc@ylsbc.org
I have completed the payment process
*
Yes
Submit
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