Fox Creek (PREDATORS) High School, North Augusta, SC 29841

First Name

Last Name

Position Applying For

E-mail

Street Address

Town/City

State

Zip Code

Telephone

Cell Number

Miscellaneous Info

Students Name

Grade

Required Field

Please Read Carefully Before Submitting:

Either a valid email address or valid telephone number is required for an application to be processed for
the FCHS volunteers. If neither is submitted or the email address or telephone number we receive
is found to be false, the application will not be processed.

By checking this box, I hereby certify the above information is correct and I am 18 years of
age or older or that my parent/s have approved of my involvement in this activity.

Thank You