CLC Student Enrollment Form

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CLC Student Enrollment Form

A student's parent/guardian must complete this form in order for the student to be enrolled in any course at the Campbell County Christian Learning Center. A new form must be completed for each course taken by the student.

Student Name *

Select a CLC Course *

Has your student already taken a previous course at the CLC? *

Introductory Old Testament (Fall Semester)

Introductory New Testament (Spring Semester)

Lightbearers: Biblical Worldview

None

Required

Grade *

Freshman

Sophomore

Junior

Senior

Other:

Student Email *

Student Cell Phone *

Student Mailing Address *

City, State, ZIP *

Parent/Guardian Name(s) *

Parent/Guardian Email *

Parent/Guardian Phone Number *

Additional Parent/Guardian Phone Number

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