Class Registration

2024-25 Alleghany JAM Registration (Spring)

"*" indicates required fields

Parent/Guardian Information

Parent Name*

First Last

Email address*

Phone number*

We will never sell or share your phone number or personal information!

May we text you?*

Yes

We will text you to remind you of dates and deadlines; emergency information regarding inclement weather, and personally regarding your child(ren).

Address*

City*

State*

ZIP*

Choose Reduced Payment Option

Alleghany Jam Classes Only	$130 for the First Child	Siblings are 20% off
Appalachian Arts Class Only	$70 for the First Child
Alleghany Jam & Appalachian Arts	$200 for the First Child
Reduced Payment Option
Alleghany Jam Classes Only	$70 for the First Child
Appalachian Arts Class Only	$30 for the First Child
Alleghany Jam & Appalachian Arts	$100 for the First Child

How many children do you want to register?*

Child One Information

This field is hidden when viewing the form

Child's Name*

First Last

Child's Age*

Child's Birthdate*

Child's School*

Child's Grade*

Child's First Instrument Choice (returning students get priority)*

Child's Second Instrument Choice (in case they don't get first choice)*

Child's First Activity Choice*

Child's Second Activity Choice*

Has Child been in JAM Before*

Any physical/health issues we should be aware of?*

Child Two Information

This field is hidden when viewing the form

Child's Name*

First Last

Child's Age*

Child's Birthdate*

Child's School*

Child's Grade*

Child's First Instrument Choice (returning students get priority)*

Child's Second Instrument Choice (in case they don't get first choice)*

Child's First Activity Choice*

Child's Second Activity Choice*

Has Child been in JAM Before*

Any physical/health issues we should be aware of?*

Child Three Information

This field is hidden when viewing the form

Child's Name*

First Last

Child's Age*

Child's Birthdate*

Child's School*

Child's Grade*

Child's First Instrument Choice (returning students get priority)*

Child's Second Instrument Choice (in case they don't get first choice)*

Child's First Activity Choice*

Child's Second Activity Choice*

Has Child been in JAM Before*

Any physical/health issues we should be aware of?*

Child Four Information

This field is hidden when viewing the form

Child's Name*

First Last

Child's Age*

Child's Birthdate*

Child's School*

Child's Grade*

Child's First Instrument Choice (returning students get priority)*

Child's Second Instrument Choice (in case they don't get first choice)*

Child's First Activity Choice*

Child's Second Activity Choice*

Has Child been in JAM Before*

Any physical/health issues we should be aware of?*

Child Five Information

This field is hidden when viewing the form

Child's Name*

First Last

Child's Age*

Child's Birthdate*

Child's School*

Child's Grade*

Child's First Instrument Choice (returning students get priority)*

Child's Second Instrument Choice (in case they don't get first choice)*

Child's First Activity Choice*

Child's Second Activity Choice*

Has Child been in JAM Before*

Any physical/health issues we should be aware of?*

In Case of Emergency

Emergency Contact Name*

First Last

Emergency Contact Relationship*

Emergency Phone Number*

My child may be picked up by/travel with:*

First Last

Other than known parents/guardians

Contact Phone Number*

My child may be picked up by/travel with:

First Last

Other than known parents/guardians

Contact Phone Number

My child may NOT be picked up by:

First Last

Comments (Optional and Confidential):

I give Alleghany JAM permission to use photos/videos of my child in AJAM in social or print media. (We will not list your child's name for safety reasons.)*

Alleghany Class Registration Total

Price:

Total

How would you like to pay?*

Check/Cash

Credit Card

PayPal

Credit Card*

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Payment Method*

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

This field is for validation purposes and should be left unchanged.

Reach Out Directly

If you have questions about the upcoming registration, drop us a message, and we'll get back to you as soon as we can.

Phone

336-572-5266

Email address

alleghanyjaminfo@gmail.com

Location

Alleghany JAM P.O. Box 1326
360 N. Main Street
Sparta, NC 28675

Hours

Mon: 10AM-5:30PM
Tue: 10AM-5:30PM
Thur: 10AM-4:00PM
Fri-Sun: Closed

Class Registration

2024-25 Alleghany JAM Registration (Spring)

Parent/Guardian Information

Child One Information

Child Two Information

Child Three Information

Child Four Information

Child Five Information

In Case of Emergency

Reach Out Directly

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Alleghany JAM

Class Registration

2024-25 Alleghany JAM Registration (Spring)

Parent/Guardian Information

Child One Information

Child Two Information

Child Three Information

Child Four Information

Child Five Information

In Case of Emergency

Reach Out Directly

Connect With Us:

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Alleghany JAM