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Hide 'N Seek Registration Fall 2021
Please fill out one per child eligible to attend. Contact Jessica Miller at 402-862-5375 or
nrfcchildmin@gmail.com
with questions. Please find our medical release form here:
https://northridgefallscity.com/upload/files/Hide%20N%27%20Seek%20Medical%20Release%20Form%202021%281%29.pdf
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* Indicates required question
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Grade
*
1
2
3
4
5
Youth Helper
Parent/Caretaker Name
*
Your answer
Relationship to Child
*
Mother
Father
Other:
Address
*
Your answer
Primary Phone Number
*
Your answer
Other Phone Number
Your answer
Emergency Contact Name (other than listed above)
*
Your answer
Relationship to Child
*
Your answer
Emergency Contact Phone Number
*
Your answer
The above named child has my permission to attend the weekly NorthRidge Church Hide 'N Seek Bible Club beginning Tuesday, September 14th, 2021 and be transported to Hide 'N Seek activities including weekly pick up at school.
*
Yes
Required
I have printed and completed the medical release form linked at the top of this Google Form.
*
Yes
Required
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