Registration


Welcome to Club Xhell Youth Life Center! Please view the new parent orientation video at https://www.youthlifecenter.org/online-services-1 Please watch until the end so that you are able to retrieve the orientation code. You will need this code to complete the registration.

*   denotes required fields

Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Who is your employer?
Contact #2
How can we contact you?
(Emails are kept confidential)
Who is your employer?
Student #1
(format=mm/dd/yyyy)
Additional Info

Please click on the Search button below, then choose the class.

Request Classes
Select Class
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns
Payment Information
Please fill out ONE of the following Payment Methods
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)