First United Methodist Church 2019-2020 JAM Registration Form
There is no fee for our JAM program for Pre-Kindergarten through 8th grade students. Families are welcome to join us for our Family meal the first Wednesday of the month beginning in October.
Student Name *
Your answer
Gender *
Grade *
Your answer
School *
Your answer
Parent/Caregiver Name(s): *
Your answer
Address *
Your answer
Email Address *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
Emergency Contact (Name and Number) *
Your answer
Which is the best way to send reminders? *
Parent's Church Affiliation
Your answer
I would like to assist in the JAM Program by:
Your answer
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: *
Your answer
Those persons authorized to pick up my child(ren) after JAM are: *
Your answer
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