First United Methodist Church 2021-2022 JAM Registration Form
JAM is for all students Pre-K through 6th grade. There is no fee for this program.
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Student Name *
Gender *
Grade *
School *
Parent/Caregiver Name(s): *
Address *
Email Address *
Home Phone *
Cell Phone *
Emergency Contact (Name and Number) *
Parent's Church Affiliation
I would like to assist in the JAM Program by:
I need assistance with transportation *
My Child has permission to ride on church provided transportation *
I give permission for my child to have their picture taken for occasional church publications. *
The JAM program personnel are authorized to take my child to the hospital for emergency care in the case of a medical emergency. *
Allergies or other Medical Conditions: *
Those persons authorized to pick up my child(ren) after JAM are: *
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