General Information
A student's parent/guardian must complete this form in order for the student to be enrolled in any course at the Campbell County Christian Learning Center. A new form must be completed for each course taken by the student.
Student Name *
Select a CLC Course *
Has your student already taken a previous course at the CLC? *
Grade *
Homeroom Teacher *
Student Email *
Student Cell Phone *
Student Mailing Address *
Parent/Guardian Name (s) *
Parent/Guardian Email *
Parent/Guardian Phone Number *
Additional Parent/Guardian Phone Number
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