JMC Registration Form 2019JMC Registration Form 2019 If you are human, leave this field blank. Parents/GuardiansPlease enter at least 1 parent or guardian's information. You may add up to 2 parent or guardian's information. Parent's First Name * Parent's Last Name * Parent's Email * Parent's Cell Phone for Emergency * Parent's Backup Phone for Emergency Parent's Home Phone Parent's Address * Parent's Address Address Line 1 Address Line 1 Address Line 2 Address Line 2 City City Province Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Isle of Man Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe CountryParent's Languages Spoken * English Cantonese Mandarin OtherOtherCommunication Opt-In To keep parents informed, JMC sends out program schedule, news, activity update and cancellation notice via email. Please check the box if you want to receive JMC's messages. I agree to receive emails about JMC programs Add Parent Remove ParentChildren Child's First Name * Child's Last Name * Child's Birthday * Grade attending in September, 2019 * Pre-school Kindergarten 1 2 3 4 5 6 7 8 9 10 11 12 Child's Email Child's Languages Spoken * English Cantonese Mandarin OtherOther Child's Food Allergies or Medical Conditions You do not have to provide information on medical concerns, but the information could be crucial to the well-being of your children.Please indicate any serious medical conditions you wish JMC to be aware of. Child's Alberta Health Care Number Sunday Activities that you child will attend Sunday School (9:30 - 10:45 AM) Sunday Worship (11:00 AM - 12:30 PM) Saturday evening fellowships that your child will attend: Junior High Fellowship: Caleb (Grades 7-9); no cost High School Fellowship: Joshua (Grades 10-12); no cost Add Child Remove Child Additional Notes Please indicate anything else that would be important for us to know.Volunteer for the JMCWe would like your support in helping out in the Junior Ministry Church. Please indicate which of the following programs and how often you can volunteer as a helper:I would like to volunteer for Sunday School (9:30 - 10:45 AM) Sunday Worship (11:00 AM - 12:15 PM) Caleb (Grades 7-9) - Saturday Evenings Joshua (Grades 10-12) - Saturday Evenings Submit
