Junior High Yearly Meeting Retreat Mailing List Form

Junior High Yearly Meeting Retreats
Mailing List Form

Please complete and send to be added to our Mailing List. Doing so will insure that you will receive JHYM Retreats announcements, etc. To sign up for a specific upcoming JHYM Retreat, please use our JHYM Retreat Sign Up Retreat Form. Thank you, Friend!

Please complete and submit one form per child from the same family.

Child's Name:
Grade:
Age:
Date of Birth:	(month/day/year)
Home Phone:	(Please include Area Code)
Cell Phone:	(Please include Area Code)
Address:	(Number and Street)
City/Town:
State:
Zip Code:
Parent's Email:
Child's Email:	(If Available)
First Parent's Name:
Second Parent's Name:
Meeting Attended:
Please Check:	New to JHYM Retreats. Attended JYM Retreats Previously
Comment?

Please review info and submit. Names and addresses are kept for retreat related purposes only in a database maintained by Gretchen Baker-Smith, JHYM Retreats Coordinator and the New England Yearly Meeting Office.