*FY 24 NHS Club Participation Form

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- Parents please fill in the form to register your student for clubs
- Club fees are due at the time of registration.
- Payments can be made through the online payment center at www.nps.org or use this link:
https://unipaygold.unibank.com/customerinfo.aspx. I you prefer, you can write a check made payable to the
Northbridge High School or exact cash to the main office.
- Please continue to the last page before exiting.

Email *

Club Fees Schedule

$25 Per Club - Student cap of $50 per year/per school list each club below

Student First Name *

Student Last Name *

Grade *

Parent/Guardian Name *

Parent phone # *

Emergency back up Phone # *

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