Join us Sunday mornings at 10:00 AM
Welcome
Purpose
Beliefs
About Us
Staff
Connect
Events
Sports Jam Registration
Fill out the form below to register and reserve your place for the Sports Jam 2009. Please note that your registration will not be complete until you sign a release form. By completing this form, you are simply reserving a spot for your child. If you are registering more than one child you will need to fill out the form and submit a seperate request for each child that you register. If you have any questions or require further assistance please call the Journey offices at 610.344.9332
Parent’s First Name:
Parent’s Cell Phone:
Parent’s First Name:
Parent’s Cell Phone:
Last Name:
Address:
City:
State:
Zip Code:
Telephone:
Email:
Emergency Contact:
Emergency Phone:
How did you learn about the Sports Camp?
Child’s Name:
Age:
Current Grade:
Does this child have any disabilities, handicaps, present injuries/limitations, allergies, hemophilia, heart condition, history of respiratory illness or any other significant medical conditions?
If Yes, please explain below...
200 South Church Street
West Chester, PA 19382
Telephone 610.344.9332
[
Click Here for Directions
]