EmailMeForm
Jr High Service Week Registration
Please enter your information below to register for the trip.
Student's Name
*
First
Last
Student's Email
*
Student's Phone
###
-
###
-
####
Parent's Name
*
First
Last
Parent's Email
*
Parent's Phone
*
###
-
###
-
####
Student's Grade
*
Please select
5th
6th
7th
8th
Grade Completed May 2024
T-Shirt Size
*
Please select
S
M
L
XL
XXL
Adult sizes
Food Allergies/Meal Requirements
Up to Date Medical Form
*
yes
no
Do you have an up to date medical form on file with youth department?
Pay online?
*
yes, Full Jr High Service Week ($300 + $7 online fee)
yes, Deposit Jr High Service Week ($100 + $3 online fee)
no
Total
$0.00
