3-5 2025-2026 Registration Form
765-521-7201 ext. 6509
rcurts@ncweb.me
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Student Information
Student Legal Full Name
 *
Preferred Name
Date of Birth *
Gender *
Is the student Hispanic or Latino? *
Race (check all that apply) *
Required
Home Address (street, city, and zip code) *
Home School During 2025-26 School Year *
Grade During 2025-26 School Year *
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