FAMJAM 2024 Registration

Family Information

Name (Parent or Guardian)

This address will receive a confirmation email

Phone

Address

Number of Children (3YO-5YO) Attending

Number of Children (completed K-5th) Attending

Number of Children (completed 6th-12th) Attending

Number of Adults Attending (18+)

My family will be attending (check all that apply)

Friday, August 16th 7:00-9:00PM Saturday, August 17th 9:30AM-8:00PM Sunday, August 18th 9:00AM-1:30PM

Who invited you to FAMJAM?

Child (0-12th Grade) Registration Specifics

Child #1 Name (First, Last)

Child #1 Date of Birth (XX/XX/XXXX)

Child #1 Food Allergies Wheat Dairy Eggs Nuts Other NONE

Child #1 Photo Release YES, I give Mechanic Grove Church of the Brethren permission to take photos of my child and use them in digitial and print publications. NO, I do not give Mechanic Grove Church of the Brethren permission to take photos of my child.

Child #2 Name (First, Last)

Child #2 Date of Birth (XX/XX/XXXX)

Child #2 Food Allergies Wheat Dairy Eggs Nuts Other NONE

Child #2 Photo Release YES, I give Mechanic Grove Church of the Brethren permission to take photos of my child and use them in digitial and print publications. NO, I do not give Mechanic Grove Church of the Brethren permission to take photos of my child.

Child #3 Name (First, Last)

Child #3 Date of Birth (XX/XX/XXXX)

Child #3 Food Allergies Wheat Dairy Eggs Nuts Other NONE

Child #3 Photo Release YES, I give Mechanic Grove Church of the Brethren permission to take photos of my child and use them in digitial and print publications. NO, I do not give Mechanic Grove Church of the Brethren permission to take photos of my child.

Child #4 Name (First, Last)

Child #4 Date of Birth (XX/XX/XXXX)

Child #4 Food Allergies Wheat Dairy Eggs Nuts Other NONE

Child #4 Photo Release YES, I give Mechanic Grove Church of the Brethren permission to take photos of my child and use them in digitial and print publications. NO, I do not give Mechanic Grove Church of the Brethren permission to take photos of my child.

Emergency Contact

Emergency Contact Name

Emergency Contact Phone Number

Emergency Contact Relation to attendee(s)

Parental/Guardian Agreement Statements

I've reviewed the FAMJAM schedule posted on www.mgcb.org/famjam

Yes! It's going to be epic! Nope. Headed there now, though!

I understand that my preschool aged student will attend FAMJAM from 9:30AM-11:30AM and return for the evening activities at 5:00PM on Saturday, August 17th.

Yes! I understand their modified schedule. No. I have questions about their modified schedule Not Applicable

I understand that my elementary and youth aged student is expected to participate in the entire day of programming on Saturday, August 18th.

Yes! They can't wait! No. I will need to discuss my students schedule with the registration team. Not Applicable

I understand that I need to provide my elementary aged student with a packed lunch for Saturday, August 18th.

You Got It! No, I was not aware. Could I speak to someone for more information about this? I'm an adult attendee, but I understand that I also need to provide a lunch. I'm a volunteer on Saturday.

I understand that my elementary and youth aged student will be participating in some water activities. I will provide a change of clothes, a towel and appropriate swim wear.

Yes, sounds fun! No, my child will not be able to participate in this part of Saturday. Not Applicable

Registration Cost

Registration is $10 for everyone 5 years old and up (adults included).

Registration is for SATURDAY (8/17) PARTICIPANTS ONLY. If you are not participating on Saturday, and just Friday and/or Sunday you do not have to pay the registration fee.

FAMJAM Registration Cost

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

August 16-18th, 2024

Join for a weekend of UNSTOPPABLE JOY! For one summer weekend, together with your family, we'll explore the book of Philippians through worship services, small group Bible studies, crafts, music, service projects and play!

Event dates are: Friday, August 16th 7:00pm-9:00pm, Saturday, August 17th 9:00am-8:00pm, Sunday, August 18th, 9:00am-1:30pm

All event activities will take place at Mechanic Grove Church of the Brethren, rain or shine! See www.mgcb.org/famjam for more details!

Programs and activities for friends 0-100! Registration is $10 for guests 5 years old and up. Friday and Sunday are free to attend!

**If you need to register more than 4 children, please fill out a second form.

Got questions? Email Janae at janaem@mgcb.org

FAMJAM 2024 Registration

Description

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