To become a Clubhouse member please fill out the following and return a SIGNED copy of the Parent/Guardian consent form located at the end of this form (Clubhouse is for youth ages 12 - 18).
The Clubhouse program is a project pioneered by the MIT Media Lab and The Clubhouse Network, with over 100 branches all over the world! Our Clubhouse in Moreno Valley is a safe and fun place for young people to work with adult mentors, gain confidence, learn new skills, and express themselves through the creative use of technology. Come check us out!
Thank you for your interest and we will follow up with you shortly. All information is private and will not be used for marketing or be shared with anyone.
*ListoAmerica is a licensed Clubhouse and offers the program through SBX: Youth & Family Services headquarters at
12125 Day St. Suite E303
Moreno Valley, Ca 92557
Clubhouse Open Monday - Friday
1 PM - 6PM