Registration Form - Junior Jam 2015 - October 10, 2015

Junior Jam 2015
Saturday, October 10, 2015
Registration Deadline: October 1, 2015**

Junior Jam requires a registration fee of $20.00 per person. Your registration cannot be confirmed until your credit card information is processed or payment is received in the mail. We are unable to refund registrations after October 1, 2015. Any requests to add students or adults after October 1 will be subject to an additional charge per person.

All attendees must pre-register for this event. We will not accept walk-ins on the day of the event.

**A registration deadline is essential to prepare appropriate amounts of food, supplies, and volunteer group leaders for event attendees. Follow this deadline to make your Cedarville experience the best one possible!

Click here to see how many people are already coming.

Exchanges/Changes to Registration

Please do not re-register when wanting to exchange or change your registration. All changes must be submitted by email to events at or by phone at 937-766-4444. Please include name of contact person, organization name, contact information and your desired changes. We will be happy to help in any way that we are able.

Cancel Registration and Return to Junior Jam

Note: Red * text indicates required fields

Registrant Information

Church Name *
Address Line 1 *
Address Line 2
City, State, Zip Code *
Phone Number *
Email Address *
Contact Person *
Daytime Phone
Number of boys   @ $20.00
Number of girls  @ $20.00
Number of adults  @ $20.00
Number of Youth Small T-shirts  @ $5.00
Number of Youth Medium T-shirts  @ $5.00
Number of Youth Large T-shirts  @ $5.00
Number of Adult Small T-Shirts  @ $5.00
Number of Adult Medium T-shirts  @ $5.00
Number of Adult LargeT-shirts  @ $5.00
Number of Adult XL T-shirts  @ $5.00
Number of Adult XXL T-shirts  @ $5.00


Total Amount: $