Join Now | California Coalition for Youth

Join or renew your membership with the California Coalition for Youth today! Being a part of our statewide Coalition benefits not only you, but all of California’s youth! If you have any questions about membership, please contact us at membership@calyouth.org

You can download our form, print it out, and send it in the mail, or you can use the form below.

CONTACT INFORMATION

Name

Address

City State

ZIP

Phone Alternate Phone
Email address:

ORGANIZATION INFORMATION

(please leave this section blank if you are becoming an Individual or Youth member)

Organization Name

Address (if different from above)

City: State:
ZIP

Phone

Website

General Email

Organization's Executive Director

MEMBERSHIP LEVEL

Organization
$150

Individual
$60

Youth
$10

Method of Payment
I will pay today via Google Checkout
Please send a bill to the above address (if you are joining at the Organization level, the bill will be sent to your organization).

TELL US MORE!

Please tell us about the youth that you work with:

Please check all of the services that your organization provides:

Please tell us what CCY membership services/benefits are you most interested in (select three):