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Registration

To register, please take the time to fill out the information below.

Student Information

First Name

Last Name

Grade Entering

Gender

Allergies

Shirt Size

Medical Concerns

Parent Information

First Name

Last Name

Phone

Address

Email

State

City

Zip Code

Emergency Contact Information

First Name

Last Name

Phone

Relationship

I woud like to be contacted about help with transpertation

ADDRESS

Physical Address:
12568 Philadelphia Church Rd
Stanfield, NC 28163

Mailing Address:
P.O. Box 280
Stanfield, NC 28163

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