LTC 2026 Service Challenge Record
Use this form to record your service event for LTC. You may submit multiple entries as needed. Service events are eligible if they were complete between April 2025 through March 2026.
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First Name *
Last Name *
Grade Level *
Service Activity - 
please name and provide a short description for each service event/activity 
*
Number of hours  *
Service Activity
Number of hours
Service Activity
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Service Activity
Number of hours
Service Activity
Number of hours
Service Activity
Number of hours
Service Activity
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Service Activity
Number of hours
Service Activity
Number of hours
Service Activity
Number of hours
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