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JAM Kids Registration
JAM Kids will meet at the UP Church Washington Wednesdays during the school year beginning October 2nd. Please complete a separate registration for each child attending.
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* Indicates required question
Child's Name
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
School attending
*
Your answer
Grade
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Other:
Address
*
Your answer
City
*
Your answer
State
Your answer
Zip Code
*
Your answer
Home Phone #
*
Your answer
Allergies
Your answer
Parent Name
*
Your answer
Cell Phone #
*
Your answer
Email Address
*
Your answer
Do you have any concerns or other information regarding your child that we should be aware of?
Your answer
Do you give permission for us to pick up/walk with your child after school?
*
Yes
No
Are you willing to bring snacks occasionally for the children attending?
Yes
No
Maybe
Clear selection
Do we have permission to use pictures of your child for church purposes on church social media, website, and local newspaper.
*
Yes
No
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