• 2022 SPRING REUNION REGISTRATION

    April 9th-10th, 2022
  • COVID-19 (Coronavirus) Update

    Masks will be required at reunion.
  • AS YOU CAN SEE - IT'S ONE FORM!!!

    Please have insurance card, parent (if you are under 19), and about 5-10 minutes to fill out the form! Jotform offers HIPAA compliance - Your health information is stored in secured servers and is highly encrypted. All precautions will be taken to keep this data safe.
  • The wait is FINALLY OVER! NLS SPRING REUNION!

    We can't wait to see you in St. Paul for Spring Reunion on April 9th-10th!

    You must complete this to be officially registered for the 2022 NLS Spring Reunion at St. Paul Public Schools from 12pm on April 9th to 12pm on April 10th. If you have any questions or concerns, please email Sophie at alumni@nebraskaleadership.org

    ADDRESS OF SCHOOL: 1305 Howard Avenue, St Paul, NE 68873

    Registration is $20 until April 1st; thereafter, the cost is $30.

    PLEASE send us an email if cost is a barrier! We want to see you!

    We accept cash, check, or VENMO!

  • Basic Information



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  • Emergency Contact

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  • Medical History

    HIPAA COMPLIANT - YOUR INFORMATION IS PROTECTED
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    Pick a Date
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  • In consideration of the rights to attend and participate in the Activities described above, the Participant is under 19 years of age, his or her parent or legal guardian) hereby:

    1. Agrees to abide by all rules and regulations established by Nebraska Leadership Seminar Inc (NLS).

    2. Authorizes NLS or any of its agents to provide, obtain, or authorize any reasonable incidental and/or emergency medical treatment for the Participant, in the event of the Participant’s illness, injury, or incapacity, and hereby accepts the responsibility to pay for such treatment.

    3. Grants for NLS for any purpose connected with promoting the purpose and goals of NLS, but not for commercial exploitation, the right to use the Participant’s name, voice and likeliness in any writings, photographs, films, and recordings of the Participant while he or she is participating in the Activities, and any biographical information submitted by the Participant to NLS, and to use, reproduce, publish and distribute the same.

    4. Acknowledges that there is an element of risk involved in any activity involving travel outside of one’s own home or community; certifies that the Participant is physically, mentally, and emotionally capable of attending and participating in the Activities; assumes all risk of and financial responsibility for any loss or injury to the Participant or others that may occur as a result of the Participant’s negligence or misconduct; and indemnifies and holds NLS harmless from and against any and all
    costs, claims, demands, charges, liabilities, obligations, judgments, executions, cost of the suit and actual attorney’s fees incurred or suffered by NLS as a result of, or arising out of, the Participant’s negligence or misconduct.

    This Consent and Acknowledgement of Risk shall not be amended, supplemented, or abrogated without the written consent of NLS. The Participant (and, if the participant is under 19 years of age, his or her parent or legal guardian) has read this Consent and Acknowledgment of Risk, and understands its consents.

  • Alumni Release - Consent and Acknowledgement of Risk

    Please read prior to signing
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