Central Ohio Chapter OYBC – Student Membership and Adult Support Student Member Information Please complete the information for the student. * = required field Cost of student membership is $10 (student membership fee waived with adult support at Silver level or higher) First Name* Last Name* Address* City* State* ZIP* Daytime Phone* Evening Phone Email Adult Sponsor Information Please select your membership type: Student Membership + Adult Basic Support ($30)Student Membership + Adult Bronze Support ($60)Adult Silver Support – includes free student membership! ($100)Adult Gold Sponsor – includes free student membership! ($250)Adult Platinum Support – includes free student membership! ($500) This membership is a NewRenewal Questions? Please contact our OYBC Coordinator.
