ACCT UP, Jump Memphis & YOUth Jump

ACCT UP Academy, Jump Memphis & YOUth Jump Application Participants engage in a variety of high energy activities that assist with the development of the following.

ACCTUP: Confidence, Public Speaking, Stage Presence, Communication, Literacy, Literary, Creative, Cultural and Performing Arts through Acting, Movement & Improvisational exercises in a controlled, focused setting.

Jump Memphis, YOUth Jump: Double Dutch & Jump Rope Recreational Activities, Sports/Athletic Performance Physical Fitness, Social & Emotional Learning, Holistic Health

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Student Name
Birthdate
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Age
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Address *
Phone number
School *
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Talent(s)/interest(s)
Are there any health concerns/special needs of the participant? If so, please list.
Parent(s)/Legal Guardian Name
Parent(s)/Legal Guardian Email Address
Parent(s)/Legal Guardian Phone Number (best contact, cell, work, home, spouse)
Parent/Legal Guardian Address (if same as student address above, write SASA. If not please list)

In Case of Emergency and Parent is unavailable please contact (Name, Relationship)

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