NAG Kids Conference
Registration Form
Payment is due with registration. $10 per student.
Student Name: *
Your answer
Parent Name: *
Your answer
Emergency Phone *
Your answer
Parent Email: *
Your answer
Medical Concerns:
Your answer
Photo Permissions
NAG will be taking photographs for social media posts and our website during this event.
Photo Release *
Required
Payment
Mail Payment to: NAG 16821 Colony Drive Gretna, NE 68136
Questions? Email: negifted@gmail.com
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