PACIFIC COAST LEARNING CENTER
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A separate form must be submitted for each student, but multiple tickets may be purchased at once.
*
Indicates required field
Student Name
*
First
Last
Name of Student's School
*
*Any middle-school age students are welcome to attend, regardless of school affiliation.
Student Grade
*
Parent Email
*
Parent Phone on 11/12
*
Students attending the PCLC Middle School Dance must adhere to the conduct code.
CONDUCT:
All students will remain in the dance hall for the duration of the event, unless met by a parent at the door.
Students will refrain from any form of sensual physical contact during the dance.
Attendees agree to respect dance supervisors and fellow students.
Electronic Signature
*
Student agrees to adhere to the above.
Submit
Home
2020/21 Schedule
CAMPUS FEE
Family Info Form
Movie Night
Calendar
REGISTER
Staff
Contact
FAQs
Cater Tots Lunch Program
COVID-19 Info
Handbook
Satellite Academy
PCSA Fees