Returning Student Application

Returning Students

Submission of forms does not equate to acceptance in program. The Conductive Learning Center of North America will notify you as to acceptance into the program.

Please click here for a printable version of this form.

Returning Student Application

  • Child's Personal Information

  • MM slash DD slash YYYY
  • Medical Updates

  • Type / Frequency / Where
  • Present Condition

    Please provide an update regarding current skills in...
  • General Questions

Our Mission

To provide opportunities for individuals with motor challenges to achieve optimal physical, cognitive, and social independence through the application and promotion of conductive education principles.