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