NUHS Contact & Policy Acknowledgment 2019-2020
This form is to acknowledge receipt of policy and registration forms for the 2019-2020 School Year. Please acknowledge that you have read and understand each of the following items.

Please provide current contact information, including email and cell number.
Parent / Guardian Full Name(s) *
Your answer
Student's Full Name(s) *
Your answer
Parent / Guardian Email Address *
Your answer
Confirm Parent / Guardian Email Address *
Your answer
Additional Email Addresses you want communications sent to (separate more than one with a comma)
Your answer
Parent / Guardian Cell Phone Number *
Your answer
Student Cell Phone Number *
Your answer
Additional Cell Phone Numbers you want communications sent to (separate more than one with a comma)
Your answer
Staff Contact List *
Required
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