Legacy on the Block JPS Scholar Registration Form

COC-Legacy on the Block-Facebook Event Cover

Legacy on the Block Volunteer JPS Registration Form

Scholar Name(Required)

First Last

Classification(Required)

High School(Required)

Scholar Email Address(Required)

Scholar Cell Phone (if applicable)

I can volunteer from: (check all that apply)(Required)

9:00 am - 12:00 pm

12:00 pm - 3:00 pm

Parent/Guardian Name(Required)

First Last

Parent/Guardian Email(Required)

Parent/Guardian Cell Phone(Required)