NiN Student Database Registration

NiN Student Database Registration

Please complete this short form to add your student to our NiN database if they wish for this class to count towards rank requirements.
Parent/Guardian/Youth Leader Name*

First NameLast Name
Parent/Guardian/Leader email*
example@example.com
Parent/Guardian/Leader address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Which course are you registering your student(s) for?

NiN Level 1Knife SafetyChiOther (if other please note in comments to Pathways below)
Student Name*

First NameLast Name
Student Age*
Would you like to register additional students? Note- the first student you entered in the previous question is FREE*

yesno
Please give the name(s) and age(s) of additional students you would like to register.*
Notes to Pathways

My Products*

Student NiN Rank registrationRegistration for an individual NiN Rank course with Pathways Dojo.

$20.00 # of additional students you are registering

Total

$0.00