JEC After School Sign Up
Please fill out a separate form for each student.
After School registration is not considered complete until payment is received. You can call Thalea at (908) 355-4850 x 6208 to pay though FACTS, or you can send a check to the business office.
If you have any questions, please call the elementary school office at (908) 355-4850 x 6233
Child's Name *
Your answer
Parent's Names *
Your answer
Parent's Cell Phone *
Your answer
Emergency Contacts and Cell Numbers *
Your answer
Child's Grade in September 2017 *
Are you signing up for Early Care (7:30am-8:00am) *
Please select an After School Option *
Allergy or other important information
Your answer
The following people are authorized to pick up my child: *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of The JEC. Report Abuse - Terms of Service - Additional Terms