Emergency Med Day
FREE TO ATTEND

Open to rising 9th-12th grade students in Edgecombe, Halifax, Nash, Northampton, and Wilson counties 

June 19th from 10:00am-2:30pm
Lunch provided
Area L AHEC
1631 S Wesleyan Blvd
Rocky Mount, NC 27803
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Student Full Name  *
All information will be sent by email. Please list your email address and DOUBLE CHECK FOR ACCURACY. Otherwise, you will not receive any important information related to the event.  *
Phone Number  *
Student Grade Level *
High school you currently attend (or will be attending in the fall) *
Do you have any allergies? If so, please list.  *
Please list the name of one emergency contact  *
Please list the phone number of your emergency contact *
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