FAMJAM 2025 Registration

Family Information

Name (Parent or Guardian, Adult)

This address will receive a confirmation email

Phone

Address

Number of Children (3YO-5YO) Attending

Number of Children (completed K-5th) Attending

Number of Adults Attending (18+)

My family will be attending (check all that apply)

Friday, August 1st, 7:00-9:00PM Saturday, August 2nd, 9:30AM-8:00PM Sunday, August 3rd 9:00AM-1:30PM

How did you hear about 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 https://www.mgcb.org/events/famjam-2025

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 4:00PM on Saturday, August 2nd.

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 2nd.

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 2nd.

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).

FAMJAM Registration Cost

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

August 1-3rd 2025

For one summer weekend, together with your family, we'll explore Jesus' Sermon on the Mount (Matthew 5-7) through worship services, small group Bible studies, crafts, music, service projects and play!

Event dates are: Friday, August 1st, 7:00pm-9:00pm, Saturday, August 2nd, 9:00am-8:00pm, Sunday, August 3rd, 9:00am-11:30pm

All event activities will take place at Mechanic Grove Church of the Brethren, rain or shine! See https://www.mgcb.org/events/famjam-2025 for more details!

Programs and activities for friends 0-100! Registration is $10 for guests 5 years old and up.

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

Got questions? Email Janae at janaem@mgcb.org

FAMJAM 2025 Registration

Description

Please Fix the Following