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Goodrich CLC Waitlist 2023-2024
This is the waitlist, if spots become available I will notify by email/phone.
Cost is $25.00 per child OR $40.00 for a house hold with multiple children attending.
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* Indicates required question
Payment: Due on the first week of school. (Turned in to Office)
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Check ( Please make out to Family Service of Lincoln)
Cash
I need assistance
Student's Name (First and Last Name)
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Your answer
Student's Birthdate
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MM
/
DD
/
YYYY
Student ID Number (Ex. 123456)
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Your answer
Student's Gender
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Your answer
Address
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Your answer
Grade for 2023-2024 School Year
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6th Grade
7th Grade
8th Grade
List any allergies, intolerance to food, medications, insect bites, or stings, that result in a medical reaction and clear instructions in the event of an exposure to the factor. Indicate "None" of not applicable.
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Your answer
At the end of program my student will...
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Take the Star Tran Bus
Walk home or Bike Home
Be picked up by authorized escort (must be 19 years or older)
Required
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