Online Youth Membership Payment Form

WHEN PAYING ONLINE, please also send in (via USPS, fax, or email attachment) a completed and signed membership & parental approval form when you complete this online membership purchase. We require this form from a parent/guardian of every minor joining the club.

1 - Complete this form.      2 - Click Buy Now.        3 - Follow directions on the next screen (PayPal).      4 - Return to YBC website.
You'll receive an email confirmation of your purchase and payment. For Youth Members who enroll for the following calendar year by December 31st, a free bonus gift will be mailed after January 1st.
NOTE: The billing address will be shown on the PayPal screen for "Ship to"....but don't worry!  If you're eligible for a bonus gift, we'll ship it to the address you fill in on this form.

All fields below are required except Your (Billing) Address Line 2.

Youth/Student Member Full Name: Preferred Nickname:
Street Address: Email:
City, State, Zip: Parent's Email:
Billing First Name:
Membership Term
One Year $10
Two Years $20

Billing Last Name:
Billing Address Line 1:
Address Line 2 if applicable:
Billing City:
Payer's Email:
  Click the Buy Now button to proceed to the payment screen and complete your transaction. 


NYSOA is a 501(c)(3) nonprofit corporation.
New York State Young Birders Club membership dues are tax deductible to the extent allowed by law.