Claiborne Parish ACT-SO Registration Form

Every Student must be registered with a separate, unique email address. We know that this can be a problem with households with more than one ACT-SO student or where students and parents share an email address. Unfortunately, this is a limitation of the registration system that we use.
Email address *
First Name *
Last Name *
Address *
Address - 2nd Line (if needed)
City, State and Zipcode *
Best phone number on which to reach you? *
Mobile phone? *
Citizen or legal resident of the United States? *
Gender *
Birthdate *
MM
/
DD
/
YYYY
New or returning ACT-SO student? *
Grade in school *
Name of high school *
Street Address of high school *
City, State and Zipcode of high school *
How did you find out about ACT-SO? *
Student tee shirt size (Adult Sizes) *
Are you currently a member of the NAACP? *
If yes, in what Branch or Youth Council is your membership?
What is your first category of competition? *
What is your second category of competition? *
What is your third category of competition? *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Relationship *
If you selected "Other" for the Parent/Guardian relationship, please list the relationship here
Parent/Guardian Email Address *
Parent/Guardian 10-digit phone number (primary) *
Is this a mobile phone? *
Parent/Guardian Secondary Phone Number
Is this a mobile phone? *
Parent/Guardian address *
Parent/Guardian 2nd line of address.
Parent/Guardian City, State and Zipcode *
A copy of your responses will be emailed to the address you provided.
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