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NSM Event Registration
Register below for Northview Student Event 6th through 12th Grade.
To pay for your students events:
https://pushpay.com/g/northviewbaptist?src=hpp
* Indicates required question
Student Name
*
Your answer
Student DOB
*
MM
/
DD
/
YYYY
Student Grade
*
Your answer
Student Name
Your answer
Student DOB
MM
/
DD
/
YYYY
Student Grade
Your answer
Student Name
Your answer
Student DOB
MM
/
DD
/
YYYY
Student Grade
Your answer
Parent/Guardian Name
*
Your answer
Address
*
Your answer
Cell
*
Your answer
Email
*
Your answer
NSM Event
*
NSM SERVE March 14-16
Student Summer Camp June 30-July 5
OTHER STUDENT EVENT
Other:
Required
Completed Medical Release Form?
*
Yes
No
Required
Do you have any allergies or dietary restrictions?
*
Your answer
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