Just Jumpin' Assembly Request Form
Please submit the following information to request an assembly for your school. We'll be in touch with you shortly to discuss available dates and times according to your preferences.
Your Name
Your answer
Email Address
Your answer
School named
Your answer
Phone #
Your answer
School Phone number
Your answer
School Address
Your answer
Number of Assemblies
Your answer
Number of Workshops
Your answer
Interested in Ropes Sales
Single Ropes - $7; Double Dutch Ropes - $9; school receives $1 discount for each rope sold (up to $200)
Month you prefer to schedule in
We can only schedule 2 days of assemblies per month, so we ask that you indicate your preferences then we'll contact you with our availability
Day of the week that you prefer
Time of day that you prefer
Questions, concerns,or comments
Your answer
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