Just For Kids - Registration

Just For Kids
2013 South Quincy Street
Arlington, VA 22204
ph: 202-965-1382
john@coachjohnjenkins.com

Registration

Sign Up Online!

Fill out the registration form online, payment is done by mail!

Class spaces can only be reserved with payment

*Applicant's Full Name:

*Parents Name:

*Age:

*Child's School:

*Email:

*Phone:

*Address 1:

Address Line 2:

*City:

*State/Province:

*ZIP/Postal Code:

*Country:

*Physician's Name:

*Physician's Phone:

*Emergency Name (Other than parent):

*Emergency Phone:

Please specify any medical problems the participant has (if any):

Please check Schedule and Pricing for correct times and fees

*Location:

*Day:

*Time Selected:

*Program:

Payment must be made within 7 days in order to reserve a spot for your child.
Checks must be made payable to: JUST FOR KIDS LLC
Please mail checks to
Just For Kids LLC
2013 S. Quincy St.
Arlington, VA, 22204

Other comments:

Liability Waiver: As a participant of Just For Kids LLC, my son/daughter is in good health and has my permission to participate in the after school program. Just For Kids LLC, and its directors, employees and facilities assume no responsibility and will not be held liable for any injuries, illness or accident during class resulting in medical, dental or other expenses.

*By submitting this registration form I agree to the above conditions.:

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Just For Kids
2013 South Quincy Street
Arlington, VA 22204
ph: 202-965-1382
john@coachjohnjenkins.com