NHS Dance Marathon Valentine's Event
All money raised will go to the Pediatric Cancer Unit at Stead Family Children's Hospital in Iowa City!

When:  Saturday February 12th
Time:  1pm to 4pm
Where:  Orchard Hills  -- drop off at North Doors  (by the Gymnasium)
Who:  Pre-K through 5th Grade
What:  Games, Arts & Crafts, Music, and Snacks
Price:  $30 per child and $15 each additional child in a family

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Email *
Parent or Guardian Name to contact in case of emergency *
Parent Cell Number *
How will you be paying?   (cost is $30 per child & $15 per additional child in a family) *
Child's Name *
Child's Grade *
Does the Child have any allergies, medical conditions, or needs we should be aware of?   If yes, please explain
Additional Child's Name
Additional Child's Grade
Does the Child have any allergies, medical conditions, or needs we should be aware of?
Additional Child's Name
Additional Child's Grade
Does the Child have any allergies, medical conditions, or needs we should be aware of?
A copy of your responses will be emailed to the address you provided.
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