JMPNS Wait List Application
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Parent's First Name *
Your answer
Email Address *
(you will receive confirmation & enrollment info at this address)
Your answer
Primary Phone Number
Your answer
Address *
Your answer
Parent's Last Name *
Your answer
City, State, Zip *
Your answer
Second Contact Number
Your answer
Class Preference *
Family's Current Status *
Continuing & Alumni Families please indicate class and year
Your answer
How did you hear about us? *
Commitments
-1 Meeting per month 6:30pm-8:30pm on Wednesdays
-1 work day per week for the duration of the school year
(Must stay for your child's entire class time)
-Participation in fundraising
-1 committee job per enrolled child

*requirements are subject to change with board approval
Important!
Your child will not be placed onto the JMPNS wait list until this form has been submitted and received by the Participation Chairperson.
Your placement on the wait list will be confirmed via e-mail upon receipt of this form -- usually within 10 days.
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