Register for After School Program | Los Angeles Boys & Girls Club

Step 1 of 7

STEP 2: Add Family Information

Parent/Guardian #1 Name*

First Last

Parent/Guardian #1 Phone*

Parent/Guardian #1 Email*

Parent/Guardian #1 Address*

Street Address City State ZIP Code

Add a Parent

Yes

Parent/Guardian #2 Name

First Last

Parent/Guardian #2 Phone

Parent/Guardian #2 Email

Parent/Guardian #2 Address

(If different than first address)

Street Address City State ZIP Code

STEP 4: Calculate Total Fees Based on Income

Household Information

Part 1: Select your family size*

How many people live in your household?

Part 2: Select your household income*

Total household income (before taxes):

Part 2: Select your household income (2 members)*

Total household income (before taxes):

Part 2: Select your household income (3 members)*

Total household income (before taxes):

Part 2: Select your household income (4 members)*

Total household income (before taxes):

Part 2: Select your household income (5 members)*

Total household income (before taxes):

Part 2: Select your household income (6 members)*

Total household income (before taxes):

Part 2: Select your household income (7 members)*

Total household income (before taxes):

Part 2: Select your household income (8 members)*

Total household income (before taxes):

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Income Level (Hidden calculation)

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After School Rate (Hidden Calculation)

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After School Total (Hidden calculation)

Number of Children

Subtotal

Sibling Discount

Club Membership Fees

$15 per child

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Sports Child 1

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Classes Child 1

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Sports Child 2

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Classes Child 3

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Sports Child 3

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Classes Child 3

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Sports Child 4

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Classes Child 4

Extra Classes Total

Total Amount Due

How to Pay: Pay fees at the Club: 2635 Pasadena Avenue, Los Angeles, CA 90031

STEP 6: Add Emergency Contacts & Additional Authorized Individuals

Emergency Contact & Authorized Pickup #1*

(In case of emergency and the parents cannot be reached)

First Last

Phone - Emergency Contact & Authorized Pickup #1*

Emergency Contact & Authorized Pickup #2

First Last

Phone - Emergency Contact & Authorized Pickup #2

Emergency Contact & Authorized Pickup #3

First Last

Phone - Emergency Contact & Authorized Pickup #3

Is there anyone who is UNAUTHORIZED to pick up your child(ren) from summer camp?*

Yes

Please enter the name(s) of the individual(s) that are UNAUTHORIZED to pick up your child(ren).

STEP 7: Upload Required Documents

You may submit these required documents online or in-person at The Club. A scanned document or photo of document(s) are acceptable. (Accepted files include jpg, png, pdf.)

Club staff will your verify annual income and confirm your personalized weekly rate.

Once all documents have been received and any balance due has been paid, your registration will be finalized.

Income Verification

Please upload a file showing your most recent pay stub to verify your income and camp fee rate. (e.g. Scanned document or photo of pay stub)

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 20 MB.

Date of Birth (DOB) Verification

Please upload a document that contains your child's date of birth i.e. school report card, medical card, immunization record, birth certificate, or other official document. If you are signing up multiple children, please upload a document for each child

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 20 MB.

Address Verification

Please upload a document that contains your current address. i.e. recent gas bill, electricity bill, or any other bill with your name and address on it

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 20 MB.

Recent Photo of Child

Please upload a recent photo of the applicant.

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 50 MB.

Parent ID Verification

Please upload a photo of a Government Issued ID for a parent.

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 20 MB.

After School Camp Total

Price: $0.00

Total

STEP 1: Select Weeks

STEP 2: Add Family Information

STEP 3: Add Club Member / Camper Information (Up to 4 Children)

Child #2 Information

Child #3 Information

Child #4 Information

STEP 4: Calculate Total Fees Based on Income

STEP 5: Permissions & Releases

STEP 6: Add Emergency Contacts & Additional Authorized Individuals

STEP 7: Upload Required Documents

Club Registration 2026

What are you looking for?

After School Program Registration Fall 2026

Club Registration Form

STEP 1: Select Weeks

STEP 2: Add Family Information

STEP 3: Add Club Member / Camper Information (Up to 4 Children)

Child #2 Information

Child #3 Information

Child #4 Information

STEP 4: Calculate Total Fees Based on Income

STEP 5: Permissions & Releases

STEP 6: Add Emergency Contacts & Additional Authorized Individuals

STEP 7: Upload Required Documents