Wildcat Jungle Registration Form
In-Person and Virtual 21CCLC After School Program ( The program will be virtual until students return to school.)

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Email *
2020-2021             21CCLC
Will your child be using bus transportation home after the program ending at 5:30? *
First and Last Name of student *
Date of Birth *
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Grade *
Homeroom Teacher *
Gender *
Ethnicity *
Special Needs/Allergies *
Do you have any other children that will attend WJ? *
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