Event Registration

JA Virtual App Camp
06/22/2020 - 07/23/2020

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