Student Name:         Age: 
       Nickname:   Position: Fwd Def Goal
Teams/Organizations: 
	Address: 
   	   City: 
     	     St:  Zip:
  	  Phone: 
  	  EMail: 

We like to get to know our NEHI parents and guardians... 
Do you have an expertise that might help our business?
    Parent/Guardian: 
    How I might help:

Do you have a friend who should receive a brochure?
	      Name: 
	   Address: 
	      City: 
	        St:  Zip: