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601 East Trade Street Charlotte, NC 28202

CMPD Youth Academy Enrollment Application

Enrollment to this Academy

Applicant Information

Date of Birth

Sex / Gender

T-Shirt Size

Parent / Guardian Information

Emergency Contact Information

Criminal History

Live in Mecklenburg County

Have you ever been arrested?

Have you ever been suspended from school in the last 2 years?

Have you ever used illegal drugs?

Have you ever been issued a traffic citation?