NEF - Block Kids Building Program
Official Registration/Entry Form Please fill out all information requested
STUDENT'S NAME
Youth T-Shirt Size
Please Select
S
M
L
XL
GENDER
Male
Female
MAILING ADDRESS
Street Address
Street Address Line 2
City, State, Zip
State
Zip Code
PARENT/GUARDIAN NAME
HOME PHONE NUMBER
PARENT/GUARDIAN EMAIL
example@example.com
STUDENT'S CURRENT SCHOOL
GRADE
TEACHER
SCHOOL STREET ADDRESS
Street Address
Street Address Line 2
City, State, Zip
State
Zip Code
Participation Release
*
(Signature of Parent/Guardian)
Clear
Photo Release
(Signature of Parent/Guardian)
Clear
Must be received by
Submit
Should be Empty: