Registration Form

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PUBLIC MISSIONS REGISTRATION FORM

Note: positions in programs are not guaranteed until payment has been received by CLCNM.
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Personal Information  All Fields Required

Name *
Address *
City *
State *
Zip *
Phone *
Email *
Comments

Programs  Select At Least One Program

Summer Sizzler (10 & Up) Sweetheart Space Station (21 & Up)
Balloon Fiesta (10 & Up) Magical Anniversary Mission (10 & Up)
Creepy Comet (10 & Up) Cinco de Mayo Mission (21 & Up)
Holiday Launch (10 & Up)    

Attendees

Secect number of attendees
Adults Children (10 & Up) Seniors

Security  Required

Security Code *   Enter Security Code  

Payment Information

1. We accept Check, Visa, Mastercard, Discover, Cash, or PayPal.
2. Positions in programs are not guaranteed until payment has been received by CLCNM.
3. Call (505) 248-1776 to make a payment by phone.
4. Mail or bring your payment to: Challenger Learning Center New Mexico
1776 Montaño Road NW
Los Ranchos de Albuquerque, NM 87107

CLICK THE SUBMIT FORM BUTTON BELOW TO COMPLETE YOUR REGISTRATION FORM

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