2021-2022 Registration Form
NOTE: only complete this form if you are enrolling as a Full Time DLC student. If you are staying at your current school while picking up a few DLC courses please complete this form instead: https://forms.gle/8C3LtNpFc9ppBrms9

- As the 2021 school year comes to an end information on next year will be sent out to the email addresses provided.
- If you are submitting a registration form AFTER June 25 you will not hear from the DLC until we return in the fall (last week of August).
Email *
Student's Legal Name
Last Name *
First Name *
Middle Name
Usual First Name
Are you a current DLC student?
Clear selection
Date of Birth *
MM
/
DD
/
YYYY
Gender *
2021-2022 Grade *
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