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2024-2025 WCCA Registration Form
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* Indicates required question
Today's Date
MM
/
DD
/
YYYY
Student's Name
*
Your answer
Student's Age and Date of Birth
*
Your answer
Student's Cell Phone Number
*
Your answer
County Student Resides in
*
Your answer
Grade Student is Entering
*
Your answer
Mother and Father's Names and Phone Numbers
*
Your answer
Primary Mailing Address and Email Address
*
Your answer
Person Responsible for Paying Student Expenses
*
Your answer
Who Can Pick up Your Child from School
*
Your answer
Who
CANNOT
Pick up Your Child from School
*
Your answer
Student's Interests and Hobbies
Your answer
Middle and High School Student's College or Tech School Interests
Your answer
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