Registration - TLC at LPP

We have received your payment for our Summer Program. Please complete and submit the information below:

Registration Form

* Indicates required field

Student Name *

First

Last

Age *

Date of Birth *

Grade in 2020-2012 *

School in 2020-2021 *

Prior Zoom Experience *

Parent Name *

First

Last

Email *

Phone Number *

Comment *

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