J.A.M. (Jesus and Me) Registration 2023-2024

J.A.M. (Jesus and Me) is a 4-part midweek program for 2nd - 5th Grades, meeting Wednesdays right after school until 7:15 PM. J.A.M. begins the end of September and runs through the end of April (dates vary by year, check with church for specific dates each year). Parent involvement is required.

Student Information -- all information is required, one child per form

Name

This address will receive a confirmation email

Phone

Address

Birthdate

Is Our Savior's your home church?

Yes No Option

If Our Savior's is not your home church, where do you attend worship?

Grade for this school year?

2nd 3rd 4th 5th

Transportation to J.A.M.

J.A.M. takes place after school starting at 4:00. Transportation is not provided by OSLC but carpools have been set up in the past. Please answer the following questions.

Providing own transportation -- Solo Able to Drive Carpool Need Help finding Carpool

Which school is this child currently attending? (used for carpooling)

CARPOOL: If you are able to drive a carpool, how many kids can you take and what school can you pick up from? If you are unable to drive carpool respond with n/a.

Does this child have allergies? If yes, please list here. This information will be kept confidential and will be used to best serve your child's needs.

Does this child have special needs / restrictions? Please list here.

Medical Emergency: By typing your name below, you are authorizing Youth Club staff to take your child to the hospital for care.

Parent Information: Parent or Guardian 1: Name, Occupation, Cell phone number and address if different from child.

Parent Information: Parent or Guardian 2: Name, Occupation, Cell phone number and address if different from child. If only 1 parent or guardian, respond with NA in the space below.

I understand that I am required to volunteer 16 times during JAM. This could include: Bible Study teacher, Table Parent, Baking Team, Laundry, Debris Team, Activity time leader, etc. There will be an email with the volunteer sign up.

I will volunteer my 16 times.

FEES

The cost is $150 per year. This covers snack, activity time, curriculum materials, dinner, etc.

You can pay in whole, by semester ($75), or by trimester ($50). No child will be denied enrollment in J.A.M. because of financial needs. Please check the scholarship box if you are needing financial assistance. If you so desire, you can also donate $50 towards the scholarship program.

Pay here by credit card or send check to:
J.A.M., OSLC
9185 Lexington Ave N
Circle Pines, MN 55014.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

J.A.M. (Jesus and Me) Registration 2023-2024

Description

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