Saint Matthew Junior Youth Club (JYC) Registration 2012 Winter/Spring Session

Junior Youth Club (JYC) is a program for 3rd, 4th & 5th grade students that meets Wednesdays in the Saint Matthew classrooms from 5:00-7:00 p.m.

The Winter/Spring Session begins Wednesday, January 4 and runs through March 28.

There is a $50 fee per child to cover the costs of materials and meals.

Before you begin the registration process, please have your medical insurance information and your credit/debit card. You will need this info to complete the registration.

Parent/Family Information

* Dad/Male Guardian's Full Name

* Choose one

* Best Phone Number for Dad

* Mom/Female Guardian's Full Name

* Choose one

* Best Phone Number for Mom

* Street Address

* City

* State

* Zip Code

* Family E-mail

Parent Serving Opportunities:

I am willing to serve on the JYC kitchen crew on a rotation schedule.

I am willing to shop for the JYC food on a rotation schedule (you will be reimbursed).

* How many children will you be registering?

I am registering 1 child

I am registering 2 children

I am registering 3 children

* Indicates Response Required