FCS Virtual Academy Registration

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* If you fill out this form and deliver or mail in, you do not have to fill out online registration. Please deliver to your school or mail to

Fayetteville City Schools
110 Elk Avenue South Suite 200
Fayetteville, TN 37334

Email *

Student Name *

School Attending *

Grade Level *

Parent/Guardian #1 Name *

Parent/Guardian #1 Phone (Please list as many as possible) *

Parent/Guardian #1 Address *

Parent/Guardian #1 Email *

Parent/Guardian #2 Name *

Parent/Guardian #2 Phone (Please list as many as possible) *

Parent/Guardian #2 Address *

Parent/Guardian #2 Email *

Will you want to pick up meals *

Yes

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