Request edit access
Junior Titans Club Registration Form
Register and receive giveaways and invitations to future programs & fun activities for young boys in age groups ranging from birth to sixth grade! No prior affiliation with St. John’s Jesuit is necessary.
Sign in to Google to save your progress. Learn more
Student First Name *
Student Last Name *
Student Date of Birth *
MM
/
DD
/
YYYY
Student current grade level *
Student's Current School (please put N/A if not in school yet) *
Street Address Where Student Lives *
City *
State *
Zip Code *
Parent 1 First Name *
Parent 1 Last Name *
Parent 1 Email Address *
Parent 1 Phone Number *
Parent 2 First Name
Parent 2 Last Name
Parent 2 Email Address
Parent 2 Phone Number
Is your student a son of a St. John's Jesuit alum? *
If you answered Yes to the above question, please list father's name and high school graduation year
What types of activities would you be interested in having your son participate in? Check all that apply! *
Required
Please select your child's T-Shirt size
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of St John's Jesuit HS & Academy. Report Abuse