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INDIVIDUAL ENROLLMENT APPLICATION

This form is for a new individual student to enroll in the CLAA. Families enroll here. Existing students login here.
All courses are assessed a 10% support and administrative services fee in addition to course fees.

Note:  All information requested is required unless it does not apply to you.

 NAME AND ADDRESS
Student Registering First Name:  Last Name:
Date of Birth
Address 1
Address 2
City/Town
State/Province OR add  Zip/Postal Code 
Country
E-mail
Create a Login Password 
BILLING ADDRESS Same as above
Address 1
Address 2
City/Town
State/Province OR add    Zip/Postal Code
Country
 COURSE SELECTION
Course 1
Course 2
Course 3
Course 4

 
 
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"Youth is the time for extraordinary toil."  -Plato 1621 Stack Rd., Monroe, NC 28112 USA | Phone/Fax:(800)318-0261