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WCCLC Registration Form - Loganville High School
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* Indicates required question
Student Name
*
Your answer
Date
*
MM
/
DD
/
YYYY
Grade
*
9th
10th
11th
12th
Parent/Guardian Name
*
Your answer
Relationship to Student
*
Your answer
Parent/Guardian Email
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Has this student taken CLC before?
*
Yes
No
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