2019- 2020 Registration Registration Form for New Families- by invitation only

We are thrilled to offer you a spot for our 2019- 2020 program year.  Please complete and submit the registration form below within 24 hours of your registration invitation sent to you via email. To finalize your registration and to be eligible for enrollment, a $125 non-refundable registration fee per child must be paid by Wednesday, March 13th, 2019. We accept cash or checks only.  Please let us know on the form below if you will be bringing your payment to CLC or submitting by mail. Our mailing address is:

CLC at North Oxford Baptist Church 

P. O. Box 1700  

Oxford,  MS  38655  

 


Child's Name Required

Name Child goes by

Child's Date of Birth Required

Male or Female?

Father's name Required

Mother's name Required

Address Required

Phone Number Required

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Comments

Will you submit your registration fee at CLC or by mail? Required