5th & 6th Grade Paint Night

Required

2026 5th & 6th Grade Paint Night

Thursday, April 16, 2026 | 6:30 - 8:00 PM

Student's First Namerequired

Student's Last Namerequired

Current Schoolrequired

Current Graderequired

Address 1required

Address 2

Cityrequired

Staterequired

Ziprequired

Prent/Guardian Namerequired

First Name

Last Name

Relationship to Studentrequired

Parent/Guardian Emailrequired

Parent/Guardian Phone #required

e.g. 215-637-7676

Emergency Contact Namerequired

First Name

Last Name

Relationship to Studentrequired

Emergency Contact Phone Numberrequired

e.g. 215-637-7676

Does your daughter have any allergies/medical conditions requiring assistance?requiredIf yes, please contact AFiganiak@NazarethAcademyHS.org for specifics.

Yes

If yes, please contact AFiganiak@NazarethAcademyHS.org for specifics.

Electronic Signaturerequired

My daughter has permission to participate in NAHS 5th & 6th Grade Paint Night.

Photo Releaserequired

I give permission for my daughter to be in photos of the event. Photos will be posted on the NAHS website and social media.

I DO NOT give permission for my daughter to be in photos of the event.