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NSJ Teen Night August 30
NSJ Teen Night August 30

Please submit the following form with registration needed for Teen night. Member children cost $5 and guests cost $8. Money will be collected at the door and children will not be admitted without full payment. Note only 4 guests are allowed per member, and any non-members may only sign in and attend with a NSJ member.
NSJ Member Parent First Name
Your answer
NSJ Member Parent Last Name
Your answer
Can you chaperone?
If yes, provide email address:
Your answer
Emergency Contact Number
Your answer
Your child's name (first and last)
Your answer
Your child's name 2 (first and last)
Your answer
Your child's name 3 (first and last)
Your answer
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