Seeing the Possibilities ... and Making them Real
Children's Learning Center

How to Contact the School:

Middle/High School Program and Administrative Offices	Elementary School Program
1910 Central Avenue Alameda, CA 94501 phone (510) 769-7100 fax (510) 769-1824	2152 Central Avenue Alameda, CA 94501 phone (510) 769-2322 fax (510 769-2329

If you would like CLC to contact you with more information regarding our program, please fill out the form below.

Fields marked with an asterisk (*) are required.

Your Name*:

Child's Name:

Mailing Address:

Home Phone*: Work Phone:

Cell Phone:

E-mail*:

Prefered Contact Method: Home Phone Work Phone Cell Phone E-mail

When is the best time to reach you?

Child's Age: Child's Birthdate:

Child's Home School District:

Child's Current Classroom/Grade:

Please include any comments you may have in the space provided below: