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Meaningful Life Learning Circles

Meaningful Life Learning Circles Registration

2023-2024 Meaningful Life Learning Circles Registration

This registration is for the second session only: Keeping Myself Safe at Home, In the Community, and Online:  from January 15-February 21, 2024. 

This program is for those 17+ years of age
Would you like to be contacted in addition to your parents?
If yes, please provide your email and phone number below

Answering the questions below,  will help our Club Connections Team create lessons that can meet a diverse group of needs.

Any difficulty with sight or hearing?
If yes, please indicate what those are:
Does Club 21 have permission to release photos of your teen:
by clicking "yes" you give your consent
Payment Options
If you are requesting funding from Self Determination funds, please check this box:

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

According to your spending plan
Payment Option
Credit Card Information
Make this a monthly payment?
Make this a monthly payment?
Your total payment will be
Your credit balance will cover
Your credit card will be charged
Your bank account will be charged