JMPNS Enrollment Application

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Child's First Name *

Child's Last Name *

Child's Date of Birth *

YYYY

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) *

2025-2026

2026-2027

Required

Class Preference *

Either AM or PM

Family's Current Status *

Continuing Family (sibling enrolled in current school year)

Alumni Family (indicate year below)

New Family

Continuing & Alumni Families please indicate class and year

How did you hear about us? *

From a friend or family member

Stopped by a JMPNS booth at a local event

Facebook/Instagram or other social media

Google or other search engine

Yelp

Other:

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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