PBJh Late Registration S26

MISSED OPEN REGISTRATION,

BUT STILL WANT TO JOIN?

Limited Membership might be for you!

Limited membership to PBJH allows your family to become a member and join us Mondays at Real Church in Midland.

Your schedule will be:
- Community Social, Mon: 10-10:30
- Explorer's Mon 1st: 10:30-11:20
- Exploer's Mon 2nd: 11:35-12:25
- Option to stay for lunch.
Two step registration process:
1. Complete this registration form.
2. Venmo Kristy $75, directions at the bottom. The $75 covers your entire family for whatever remains of the 8-week term.
Family Membership Information

Primary Member
Member Name (Parent/Guardian)*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Preferred Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Kids*
Permian Basin Journey homeschoolers has permission to use photos of members of my family:*

with names.without names.
I UNDERSTAND THAT THIS IS NOT A FULL MEMBERSHIP. I WILL ONLY HAVE ACCESS TO THE SCHEDULE LISTED AT THE TOP. I WILL NOT BE ABLE TO PICK CLASSES.*

Clear
Last four digits of the phone number for Venmo are: 0982

$75 flat fee for membership and classes. Please include your full name.
Should be Empty:

Family Membership Information