Power Cross Participation Interest Form
Statesville Campus
1133 W. Front St, Statesville, NC 28677 // 704-380-3001

Salisbury Campus
314 N. Ellis St, Salisbury, NC 28144 // 980-892-1712

Please submit a separate form for all participants interested in starting at Power Cross.
Email *
Parent/Guardian's Name *
Parent/Guardian's Contact Phone Number *
Parent/Guardian's Contact Email *
What campus will your child be attending? *
Participant's Name *
Participant's Date of Birth
 *
Address
 *

Participant's School

 *

Which Athletic Program(s) does your child want to participate in?

 *
Required
Has your child previously participated in our Athletic Program? *
Please select participants shirt size *
Submit
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