LPUMS CLC - Reservation Form
Please let us know when you will be coming to the LPUMS Community Learning Center by filling out the form below.
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Email *
Student's Last Name *
Student's First Name *
Please indicate the school your student currently attends. *
Please indicate the grade your student is in. *
Please indicate the date you wish to reserve your space for. Community Learning Centers operate Monday thru Friday from 7:00am to 4:00pm. *
Please indicate the time you wish to reserve your space for. *Note that there is a maximum of 2 hours per reservation. Additional time may be allowed based on space availability. Registered users are also expected to report on their appointment date and time and shall forfeit their slot if they are fifteen (15) minutes late to their scheduled reservation. *
Students in elementary school must be accompanied by a parent or designate adult. Is your child an elementary school student? *
Name of Parent/Guardian *
Contact Phone Number *
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