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Registration Form

Enroll your loved one in Bright Climb Center's program

Discover how our specialized program guides individuals toward growth through expert coaching, academic support, and vital life skills development.

Birthday
Month
Day
Year
Medical Conditions/Allergies
Does the individual require assistance with any Activities of Daily Living (ADLs) (e.g., toileting, eating, mobility)?
How did you hear about Bight Climb Center?
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Address

2500 S Western Ave,

Los Angeles, CA 90018

Phone

626 - 689 -1767

Email

info.brightclimbcorner@gmail.com

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ABOUT US >

Bright Climb Center fosters a safe and empowering learning environment for adults with developmental disabilities, emotional or mental health challenges, and Autism Spectrum Disorders.

Registration Form 

D.O.B
Month
Day
Year
Medical Conditions
Allergies
Does the individual require assistance with any Activities of Daily Living (ADLs) (e.g., toileting, eating, mobility)?

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CONTACT >

T: 626-689-1767

E: Brightclimbcenter@gmail.com

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