CLC Student Activity Interest Form

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CLC Student Activity Interest Form - Class of 2025

Please indicate your interest in athletics and activities at CLC by completing this form. Your name and contact information will be shared with the appropriate coach or sponsor so you can stay up to date on team/club events. By checking the boxes below, you will receive information about CLC Activities. There is no commitment to participate!

Student Last Name *

Student First Name *

Student Home Phone (xxx-xxx-xxxx) *

Student Cell Phone (xxx-xxx-xxxx)

Street Address *

City *

Zip Code *

Student Email Address (do NOT use your D47 account) *

Parent E-Mail *

Middle School *

Beardsley

Bernotas

Lundahl

Immanuel Lutheran

St. Thomas

Other:

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