YEA Program Registration Form
Parent/Guardian, please fully complete this form if you are registering your child for a YEA program for the first time! If your child has attended a YEA program in the past 2 years, please complete a registration addendum form instead. This form must be completed per child. Incomplete registration forms will not be accepted. Once you complete this form, you will receive an email confirming the registration and a program information regarding next steps. If you have any questions regarding this form or the registration process, please give us a call at (412)-273-0590 or email us at .
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Child Name *
Please select the program that you are registering your child for: *
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