JMPNS Enrollment Application
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Child's First Name *
Child's Last Name *
Child's Date of Birth *
Parent's First Name *
Parent's Last Name *
Email Address *
(you will receive confirmation & enrollment info at this address)
Primary Phone Number
Address *
City, State, Zip *
Second Contact Number
Desired Enrollment Year (Check All That Apply) *
Class Preference *
Family's Current Status *
Continuing & Alumni Families please indicate class and year
How did you hear about us? *
-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
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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