Event Registration

2020 Y.E.S. Spring Reconnect
03/14/2020 09:30 AM - 03/21/2020 01:30 PM CST

Parent/Guardian Information

Please complete the following information for the parent/gurardian of the student attendee.

Waiver Statement:

EMERGENCY MEDICAL AUTHORIZATION:  I understand that in the event of accident or illness, every effort will be made to contact parent/guardian immediately.  If parent/guardian cannot be reached, I authorize Jewels Academy to obtain emergency care for my child.


required fields

NeonCRM by Neon One