Challenger Learning Center
Class Registration Sheet
Name of participant:
Class Name Start Date
Day (circle one) M Tue W Thur F Sat
Age Date of Birth _______
Parent/Guardian:
phone contact at:
E-mail
Street Address ________________________________
All classes are at the Challenger Learning Center
160 Washburn Street, Lockport NY 14094
Parking is available on Washburn Street and
in the Overflow lot across the street beyond the
Gulf Station off Walnut.
Make checks Payable to CLC of ONE Payment due at start of class.
Comments or questions? | 
