Student Name #1 (Please enter each name as you would like to see it printed in the program should they be accepted) *
Your answer
Student Name #2 (type N/A if do not have a 2nd student). *
Your answer
Student Name #3 (type N/A if do not have a 3rd student). *
Your answer
Student Name #4 (type N/A if do not have a 4th student). *
Your answer
Have you printed a copy of your School Application Form? It must be mailed with your payment to: Tonya Allison, NCEHC Treasurer, 3616 Price Rd, Hamptonville NC 27020 *