Little Buddies Application Form
Jai Jinendra!

The Jain Youth of the Capitol JYOC is JSMW's youth group dedicated to Service, Social, and Religious events for JSMW Youth aged 13-19. Recently, we've expanded to work with youth aged 7-12 as well, and we are pleased to open this registration form for your child to enter our new program, known as the "Little Buddies" program. We are excited to work with you all!

If you have any questions, comments, or concerns, please reach out to JSMW at jyoc@jainsocietydc.org, or Maneet Mehta, chair, at mmaneet2007@gmail.com.
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Child First Name *
Child Last Name *
Parent 1 - Name (last, first) *
Parent 1 - Email *
Parent 1 - Phone Number
Parent 2 - Name (last, first)
Parent 2 - Email
Parent 2 - Phone Number
Child's Email (optional)
Child's Birthday *
MM
/
DD
/
YYYY
Grade *
Pathshala Class *
Comments/Questions/Concerns?
Thank You!
Thanks for filling out this form and being apart of this!  We are going to try our best to plan some awesome activities for everyone to enjoy.
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