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How do I sign up for a Clinic?

If you’d like to register a student for a clinic, please submit an interest form. This form provides the information to send the link for paperwork that needs to be completed and returned to secure a spot at a clinic. It does not hold a spot for a student. 

Please submit one form for each student.

If you have questions or need assistance filling out this form, please contact WCBVI Outreach at