New Students

  • Submission of forms does not equate to acceptance in program.
  • A processing fee of $25 (which still must be sent by postal service, Fed Ex, etc.) must be received before your application will be considered.
  • If you are also submitting a video for assessment, your application will not be considered complete until the $100 video assessment fee (which still must be sent by postal service, Fed Ex, etc.) is received.
  • The Conductive Learning Center will notify you as to acceptance into the program.
  • Please click here for a printable version of this form.

Session:

I (Sept.) II (Oct.) III (Nov.) IV (Dec.) V (Jan.) VI (Feb.)
VII (March) VIII (April) IX (May) Summer Camp

Child's Personal Information

*
Invalid
*
** mm/dd/yyyy
*
*
*
*
*





Parent/Guardian Information

*
*
*Invalid format. xxx-xxx-xxxx
*
*
*
*Invalid format. xxx-xxx-xxxx
*
*


To provide opportunities for preschool and school age children with motor challenges to achieve optimal physical, cognitive and social independence through the application and promotion of conductive education principles.CLC is a 501(C)3 Organization