South Bend Junior Academy

Happy & Healthy Students Training for Harvard & Heaven

Registration
Name: *
Address: *
City: *
State: *
Zip Code: *
Phone: *
Email: *
5K Run/Walk (# Of Participants):
Disc Golf (# Of Participants:
10K Bike Ride (# Of Participants):
18 Hole Golf (# Of Participants:
Dates Attending: *
Dates Attended SBJA 19##- 20##: *
Number In Your Party: *
I Want A Commemorative T-Shirt:
Profession: *
Would You Like To Teach Sabbath School:
Additional Information:
Fields marked with an * are required.