Educational Partnerships

Regional Center Registration

2021-2022 Educational Partnership Parent Registration

Register below or download the 2021-2022 Educational Partnership Brochure HERE

Have you previously attended the Educational Partnership Program?
Club 21 Member?
Agreement
All parent participants MUST be a Club 21 member.

If you are using Self Determination funds, please fill out this information:

Payment Option
Credit Card Information
Visa MasterCard American Express Discover

Visa®, MasterCard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Your total payment will be
Your credit balance will cover
Your credit card will be charged
Your bank account will be charged