A MILESTONE IN THE MAKING
Trivia Night Registration
Saturday, January 31, 2026
Doors open: 5:30 pm | Game starts: 6:30 pm
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Your Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Northridge:
*
Current Parent
Past Parent
Friend
Alumnus
Faculty/Staff
Other
Current Parent: son(s) and current grade(s)?
Alumnus: graduating year?
Credit Card Payment
prev
next
( X )
Individuals
$30.00
$
30.00
Number of Registrations
1
2
3
4
5
6
7
8
9
Item subtotal:
$0.00
$
0.00
Full Table
$275.00
$
275.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Guest 1 First & Last Name
Relationship to Northridge
Please Select
Current Parent
Past Parent
Friend
Alumnus
Faculty/Staff
Other
Guest 2 First & Last Name
Relationship to Northridge
Please Select
Current Parent
Past Parent
Friend
Alumnus
Faculty/Staff
Other
Guest 3 First & Last Name
Relationship to Northridge
Please Select
Current Parent
Past Parent
Friend
Alumnus
Faculty/Staff
Other
Guest 4 First & Last Name
Relationship to Northridge
Please Select
Current Parent
Past Parent
Friend
Alumnus
Faculty/Staff
Other
Guest 5 First & Last Name
Relationship to Northridge
Please Select
Current Parent
Past Parent
Friend
Alumnus
Faculty/Staff
Other
Guest 6 First & Last Name
Relationship to Northridge
Please Select
Current Parent
Past Parent
Friend
Alumnus
Faculty/Staff
Other
Guest 7 First & Last Name
Relationship to Northridge
Please Select
Current Parent
Past Parent
Friend
Alumnus
Faculty/Staff
Other
Guest 8 First & Last Name
Relationship to Northridge
Please Select
Current Parent
Past Parent
Friend
Alumnus
Faculty/Staff
Other
Guest 9 First & Last Name
Relationship to Northridge
Please Select
Current Parent
Past Parent
Friend
Alumnus
Faculty/Staff
Other
(Optional for individual registrations) Is there anyone you want to sit with?
Questions? Please Contact:
Jeanne Henschell 404-435-0115
jhenschell@embersacademy.org
Submit
Should be Empty: