Application

Name*
MM slash DD slash YYYY
Address*
This number is:*
This can be the same as the Parent Email Address.
Upload a photo of yourself in your desired T-shirt size taken within the last 6 months.
Accepted file types: jpg, png, Max. file size: 128 MB.

Family Information

List Your Siblings:
Name
Age
Male/Female
 

Church Information

School

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One Academy Blvd. Big Sandy, TX 75755

[email protected]  |  903-636-2000

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