Just For Kids - Registration

Just For Kids
Arlington, VA
john@coachjohnjenkins.com

Registration

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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

4800 23rd St N

Arlington, VA 22207

*How did you hear about us?

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.:

Please only click submit once. Check the top of the page for a message saying your form was received.
A confirmation email will be sent shortly!
Please Mail Check to

4800 23rd St N

Arlington, VA 22207

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Just For Kids
Arlington, VA
john@coachjohnjenkins.com