Stepping Up

Registration

2021-2022 Stepping Up Registration Form
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If child is currently not in school please put "n/a"
Club 21 Member?
Stepping Up Payment Options
Classes run from August through May
Monthly Payment Plan Agreement
If you are requesting funding from your Regional Center, please check box:

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.

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