MBI-PAL Scholar Pre-Registration Form
Please complete the online form below. Regular School Year registration fee is $25. Summer Program registration fee is $10. Registration fee is due at Orientation or on First Day. Once you submit this form, we will process it and will be in contact by phone or email with more information.
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  • Which program does your child have interest in?
    Football (Boys Only) Ages 5-12
    Volleyball (Girls Only) Ages 5-12
    Cheerleading (Girls Only) Ages 5-14
    Soccer Ages 5-12
    Baseball Ages 5-12
    Track & Field Ages 5-12
    Basketball Ages 5-12
    NFL Flag Football (Co-Ed) Ages 3-14
    After-School Programs
    Mentoring Ages 6-12
    Mentoring Ages 13-18
    SADD (Students Against Destructive Decisions) Ages 13-18
    MAP (Memphis Ambassador Program) 9th-12th graders
  • Yes No
    Transportation: We will be able to provide transportation to a limited number of scholars that attend schools within a 10-mile radius of our center. Note: transportation not available for summer program. Would you like more info about this?
  • Yes No
    Do you receive DHS childcare assistance?
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