EmailMe Form - Jubal Registration Form

Parent's Name *

First Last

Email Address *

Telephone Number *

### - ### - ####

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Names and Birthdates Of Children To Be Enrolled *

Does your child have any food allergies or any other items we should be aware of?

If you are new to Jubal, do you know anyone who currently attends?

Jubal Cottage School needs parent participation to run smoothly. Please indicate where you can best help.

Please select all that apply.

By checking this box, I understand that Jubal Cottage School is a volunteer-run co-operative effort and that, as such, my participation is required to help the year run smoothly. I acknowledge and understand that PARENTS MUST BE ON SITE a number of times through the semester and that if I am unable to fulfill this obligation, I will have made it known on the registration form: *

I Agree