Junior High
Time: 3pm - 5:30pm
Day: Tuesdays

Contact Dylan with questions at dylan.huntley@nnccenter.org

Email address *
Student's Name *
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Student's Grade *
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School attends *
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Dietary restrictions *
Student's Health Insurance Information (in case of emergency) *
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Parent/Guardian Name *
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Parent/Guardian Phone Number *
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Parent/Guardian E-mail *
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Secondary Emergency Contact Name & Phone Number *
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My child has permission to participate in all Junior High activities. *
Northwest Neighborhood Community Center has permission to use my child's photo and video on social media, publications, and website. *
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