Student Travel Registration Form
Enter your details to register for travel to South Carolina State University in Orangeburg, SC. The bus will depart from First Nazareth Baptist Church at 7:30am and will return at 7:00pm. Lunch will cost $15 per person.
Child's Full Name
*
First Name
Last Name
Age
*
Parents' Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Additional Notes or Special Requirements (Allergies or dietary restrictions)
Register
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