Editing previous response:

Please fix the highlighted areas below before submitting.

South LA/ CRCD Academy Site - Enrollment Interest Form

Please fill out this form if you are interested in enrolling at YouthBuild Charter School of California's South LA site at CRCD Academy/ South LA YouthBuild. Required fields marked with an asterisk *

Contact Information

First Name*

Answer Required

Last Name*

Answer Required

Email Address*

Answer Required

Phone Number*

Number Required

How would you like us to contact you?*

Answer Required

Phone Call

Text

How old are you?*

Answer Required

What is your zip code?*

Answer Required

Is there anything you'd like to share with us about why you want to enroll?

Answer Required

Confirmation Email

Email Required