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Monday-Friday 7:30am - 3:05pm
437 Goldfloss St., Winston-Salem, North Carolina 27127
info@cartergwoodsonschool.org
(336)-723-6838
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K-5 Intramural Basketball Registration
Child's First name
Child's Last name
Child's Date of Birth
Month
Day
Year
Child's Age
Child's Grade Level
*
Kindergarden
1st
2nd
3rd
4th
5th
Parent/ Guardian Email
*
Parent Guardian Phone
*
What School Does Your Child Attend?
*
How Did You hear about us?
Child's T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Small
Medium
Large
Extra Large
Please share any medical conditions or concerns.
*
Emergency Contact Information
#1 Emergency Contact Full Name
*
#1 Emergency Contact Phone
*
#2 Emergency Contact Full Name
*
#2 Emergency Contact Phone
*
Registration Fee
$65
Registration includes a T-shirt.
Submit Registration
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