Rocketdyne Rd. Church of Christ - JumpStart Registration

JumpStart 2025 Registration

Church or Group Name

Church Address

Apartment, suite, etc.

City

State

Zip/Postal Code

First Name

Last Name

Email

Phone Number

Total Number Attending

JumpStart T-Shirts

Would you like to order any t-shirts? ($15 a piece)

Yes

No

Do you need Housing through members at Rocketdyne Road?

Are you needing Housing? (Housing closes August 1st)

Yes

No

Food and Meal Allergies

To better serve everyone who is visiting us for JumpStart, we would like to make sure we are addressing any food allergies that may be present.

Our current menu:
Pizza Hut and Salad for lunch
Chicken Teriyaki and Veggies for dinner

Does anyone in your group have food allergies?

Yes

No

Awesome! Please enter how many of each shirt you are needing.

Small T-Shirts

Medium T-Shirts

Large T-Shirts

XL T-Shirts

2XL T-Shirts (+$2 extra)

3XL T-Shirts (+$3 extra)

4XL T-Shirts (+$4 extra)

Please indicate how many you expect to bring with you that will need Housing

Estimated Number of Female Teens

Number of Female Chaperones

Estimated Number of Male Teens

Number of Male Chaperones

We will contact you closer to JumpStart weekend to confirm final numbers!

We do encourage at least one chaperone for every five students being housed.

Please let us know what Allergies are in your group. We will try to accommodate the best we can.

Allergies

jumpstart 2025 registration