Student Application

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Please complete and submit the application below. Your application will be reviewed by the Youth Program Assistants, and you will be contacted within 24- 48 hours. 

 Enrollment steps:

(1) complete a student application

(2) Schedule an enrollment meeting with our Enrollment Coordinator

(3) Attend an enrollment meeting to talk about the student’s individual needs

(4) Sign disclosures and waivers and create your child’s schedule.

 *It is a requirement of our program that students arrive at their sessions with either their homework, area of interest, or project assignments.

 

Programming disclosure statement:

Membership fees and services will be subject to change on Monday August 22, 2022. DUYA’s Program Handbook listed below outlines the policies regarding this disclosure statement.

For more information please contact us at (323) 306-2928.

English Application

Disclosure Documents Click Here 

 


    Date of Birth*

    Do you have a library card?*




    Gender*:


    Allergies*


    Contact Info*








    How did you hear about us?*
    Social MediaLibraryWord of MouthWalk-In

    Please provide us with your social media accounts for updates regarding the program.

    Parent Signature:

    Spanish Application
    Documento de divulgación: haga clic aquí


      Fecha de nacimiento*

      Tienes una tarjeta de la biblioteca?*




      Genero*:


      Allergias*


      La Información de Contacto*








      Cómo hizo su enteró de nosotros?*
      Redes socialesBibliotecaBoca a bocaEntrar

      Por favor, decirnos sus cuentas de redes sociales para actualizaciones sobre el programa.

      Padre/ Guardian firma: