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Student Ministry Roster
Complete the for below to help us gather
Student
information
for upcoming student ministry events.
Your name
*
Last name
Email address
*
Phone number
*
Phone type
Mobile
Home
Work
Other
School
*
Select…
The O'Neal School
Fayetteville Christian School
Thales Academy
Ascend Leadership Academy
Chatham Charter Siler
East Lee Middle School
San Lee Middle School
West Lee Middle School
Western Harnett Middle School
Highland Middle School
The O'Neal School
Fayetteville Christian School
Cumberland Academy
Thales Academy
Ascend Leadership Academy
Chatham Charter Siler
West Hoke Middle School
Lee County High School
Southern Lee High School
Lee Early College
Apex High School
The O'Neal School
Willow Springs High School
Union Pines High School
Fayetteville Christian School
Cumberland Academy
Thales Academy
Ascend Leadership Academy
Chatham Charter Siler
Hoke County High School
CCCC
Other
Grade
*
Select…
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Birthdate
*
Date
Medical Information
Does the student have any medical conditions or food allergies?
*
Yes
No
Parent / Guardian Information
Household members
+ Add adult
+ Add child
Submit
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