Student Registration Student First Name (required) Last Name (required) Age Gender ---MaleFemale Address School ---Clyattville Elementary School-LCSCrossroads Baptist SchoolDewar Elementary School-LCSGeorgia Christion SchoolHahira Elementary School-LCSHahira Middle School-LCSHighland Christian AcademyHorizon Academy-VCSHorne Learning Center-VCSJ.L. Lomax Elementary School-VCSJL Newbern Middle School-VCSLake Park Elementary-LCSLowndes High School-LCSLowndes Middle School-LCSMoulton-Branch Elementary School-LCSOakwood SchoolOpen Bible Christian SchoolPerimeter Christian SchoolPine Grove Elementary School-LCSPine Grove Middle School-LCSPinevale Elementary School-VCSPROMISE Program-VCSS.L. Mason Elementary School-VCSSallas Mahone Elementary School-VCSScintilla Charter AcademySt. Johns Catholic SchoolValdosta Christian AcademyValdosta Early College Academy-VCSValdosta High School-VCSValdosta Middle School-VCSValwood SchoolW.G. Nunn Elementary School-VCSWestside Elementary School-LCSOther Rising Grade ---Kindergarden1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade (Freshman)10th Grade (Sophomore)11th Grade (Junior)12th Grade (Senior) Other School Parent/Guardian First Name (required) Last Name (required) Phone Email (required) How did you hear about our event? Will you need transportation to/from the Back To School event? ---YesNo Does anyone in your household need career/job training or counseling? ---YesNo Would you or your child like to join a student mentoring program if one was available? ---YesNo Can we contact you to register for next year's Back to School event? ---YesNo Pre-Registration window is no longer open. I you would like to verify if your child has been registered please contact the Neighborhood Development Office at (229) 671-3617. Thank you!