JAKES Event Registration

Registration for the 2023 JAKES Event is required and will be held to the first 40 Kids!

* Indicates required field

Parent Name *

First

Last

Parents Contact Number *

Parents Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Comments / Concerns: *

Participating Children

1st Child's Name *

First

Last

1st Child's Age *

1st Child's Gender *

male female

2nd Child's Name *

First

Last

2nd Child's Age *

2nd Child's Gender *

male female

3rd Child's Name *

First

Last

3rd Child's Age *

3rd Child's Gender *

male female

4th Child's Name *

First

Last

4th Child's Age *

4th Child's Gender *

male female

Submit

More to follow as it comes available