Nerinx Hall

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Register for 5th Grade Fun in Fifth

Fun in Fifth is a program just for 5th graders! This field day event will be full of activities and games. Come prepared to be active, have fun, and make new friends! Small groups will be led by Nerinx Student Ambassadors.

Please select a time:

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First Name

Last Name

Phone

Email

Your daughter’s t-shirt size:

Are there any health concerns we should be aware of that may impact her visit:

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Please list the names of other 5th graders attending the event that your daughter would like to be paired with (we will do our best honor requests).

*Please fill out one form per child.*

Student Information

Student Name

First

Middle

Last

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Preferred Name

Student's Date of Birth

mm/dd/yyyy

Student's Current Grade

Interested in Grade

Interested in

For the year of

Student's Current School

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Student Cell Phone

Type

Number

Household Information

Parent's Name

Title

First

Middle

Last

Suffix

Preferred Name

Parent's Relationship to Student

Parent's Primary Phone (xxx-xxx-xxxx)

Type

Number

Parent's Secondary Phone (xxx-xxx-xxxx)

Type

Number

Parent's Email

Student's Mailing Address

Is the student related to any Nerinx Hall alumnae?

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Alumna Name

Title

First

Middle

Last

Suffix

Preferred Name

Maiden Name

Relationship to Student

Nerinx Hall Class of

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Alumnae Name

Title

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Middle

Last

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Preferred Name

Graduation Year