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JAM Registration 2017-2018
Student Name, Grade, Birth Date, School (you may add multiple children to this box)
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Parent's Name(s) and Address
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Email Address
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Best Contact Phone # during JAM hours
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Emergency Contact Name and Phone Number
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Best way to send reminders? (Text/Email/Phone)
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Parent's Church Affiliation
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Please list any allergies your child may have to food, medications, etc.
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I would like to assist in the JAM program in the following ways:
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I am willing to provide a carpool from a school to the church.
I need assistance with transportation
Those persons authorized to pick up my child after JAM are:
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Any other information we need to know about your child(ren)?
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