Namaqua
Student First Name
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Student Last Name
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Student's Grade
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Pickup Plan
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Student Notes
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Parent First Name
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Parent Last name
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Phone
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Email
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Emergency Contact
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Emergency Contact Phone Number
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Enrichment Programs
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Namaqua: Lego Club (Full Semester)
$370
Namaqua: Lego Club (Q3)
$195
Namaqua: Lego Club (Q4)
$195
Namaqua: Arts & Craft Club
$275
Liability & Participation Policy
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I understand that checking this box serves as my electronic signature agreeing to the NOCO Enrichment Liability Waiver & Participation Policy
Liability & Participation Policy
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