School Registration Form*

Please fill in all fields below to submit the School Registration Form on-line or
For more information, please contact:
Elizabeth Hammonds
Battle of Selma Committee
Post Office Box 807
Selma, Alabama 36702
Fax No. (334) 872-0751
E-mail Address: [email protected]

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School Name

Street Address

City

Zip / Post Code

Phone

Grade

Approximate # of Students

List teacher's names

1+1=? *

For more information, please contact: Elizabeth Hammonds Battle of Selma Committee PO Box 807 Selma, Alabama 36702 Phone# 334 412-3458 Email: [email protected]