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NSJ Teen Night August 29
NSJ Teen Night August 29

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

Member Parent First Name *
Your answer
Member Parent Last Name *
Your answer
Can you chaperone? *
If yes, provide email address:
Your answer
Emergency Contact Number *
Your answer
Child Member's Name (last, first) *
Your answer
Child Member's Name 2 (last, first)
Your answer
Child Member's Name 3 (last, first)
Your answer
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