JA BizTown Test Simulation Registration
RequiredRequired Question(s)
Dear Parent or Guardian,
Thank you for your interest in JA BizTown Test Simulation on Saturday, October 12th from 9am - 2pm.  Over the summer we received a donation from the Mericle Foundation to upgrade our equipment and activities.  That means before our 2019-2020 School Year really begins-- we need to test out everything!

We are looking for 60-6th graders who have already experienced JA BizTown and can help us look for glitches.  

We are also looking for a few parent volunteers to help within the simulation.  However, it is not mandatory for parents to stay.  Drop off is 9:00 am and pick up will be at 2:00 pm. If you would like to volunteer be sure to check the box below. 

Lunch will be provided.  If you have any questions, please call the Junior Achievement office at 570-602-3600.
 
Required 1.
What is the child's first and last name?
 

350 characters left.
Required 2.

What is the child's gender?


Male
Female
Required 3.

Has your child gone through the JA BizTown before?

Yes
No
  • Comment:

  • 500 characters left.
Required 4.
What school does your child attend?  
 

50 characters left.
Required 5.

Does your child have any dietary restrictions?  If yes, what are they?

 

50 characters left.
Required 6.

Please enter the Parent's First and Last Name:

 

50 characters left.
Required 7.

Please enter the Parent's daytime phone number.

 

50 characters left.
Required 8.

Please enter the Parent's email address.

 

50 characters left.
Required 9.

I would like to volunteer for the Test Simulation.

Yes
No
Required 10.

Please enter another Parent's First and Last Name. (Please put N/A if not applicable) 

 

50 characters left.
Required 11.

Please enter the Parent's daytime phone number. (Please put N/A if not applicable) 

 

50 characters left.
Required 12.

Please enter the Parent's email address. (Please put N/A if not applicable)

 

50 characters left.
Required 13.

I would like to Volunteer. 

Yes
No
Required 14.

Junior Achievement of Northeastern Pennsylvania, Inc. follows a strict pick-up policy.  Be sure to include all individuals to whom your child may be released at pick-up time.  Your child will not be released to any person whose name does not appear on this list.  A photo ID is required by anyone picking up your child.  NO EXCEPTIONS to this policy will be granted.  

Below, please provide the name and telephone number of up to 3 people permitted to pick up your child from our JA BizTown Test Simulation.

 

1000 characters left.
Required 15.

In the event of an emergency, JA BizTown staff will first contact the parent or legal guardian of the student.  If the parent/legal guardian cannot be reached, please provide the names and telephone numbers of at least two individuals that may be contacted in an emergency.

 

1000 characters left.