Summer Back-to-School Community Jammie Jam Registration
Thank you for registering for our FREE Summer Back-to-School Community Jammie Jam! Please complete this form to register for the event.
Section 1 - Parent/Guardian Information
Parent/Guardian Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Preferred Contact Method
Please Select
Phone
Text
Email
Section 2 – Child Information
For each child: (Child's First & Last Name, Age, Grade Entering, Gender)
Final Questions
How did you hear about this event?
School
Friend
Church
Social Media
Other
Waiver
I understand this is a free community event.
I understand services are available while supplies last.
I understand photographs may be taken during the event for promotional purposes.
Signature
Continue
Continue
Should be Empty: