Form Test

St. J Rec Dept Winter Registration

"*" indicates required fields

Parent/Guardian Name*

First Last

Parent/Guardian Phone*

Parent/Guardian Email*

Additional Parent/Guardian Name

First Last

Additional Parent/Guardian Phone

Additional Parent/Guardian Email

Child's Name*

Child's grade*

My Child identifies as:*

Male

Female

Non-Binary

Important Medical Conditions/Information

Emergency Contact*

First Last

Relationship to Child*

Emergency Contact Phone*

Additional Comments or Questions for St. J Rec Staff

What sport is your child registering for?*

If you registered for Cheer, please provide your child’s shirt size.

Total

Method of Payment*

Credit/Debit Card

Check

Make checks payable to St. Johnsbury Academy

Mail checks to:
St. Johnsbury Academy
Attn: St. J Rec Dept
1000 Main Street
St. Johnsbury, VT 05819

Secure Credit/Debit Card

Card Holder*

Card Number*

Card Expiration*

Card CVV*

CAPTCHA

Form Test

St. J Rec Dept Winter Registration

Make checks payable to St. Johnsbury Academy

Mail checks to:
St. Johnsbury Academy
Attn: St. J Rec Dept
1000 Main Street
St. Johnsbury, VT 05819

1000 Main Street

St. Johnsbury, Vermont 05819

(802) 748-8171

hilltoppers@stjacademy.org

49 Perkins Street

St. Johnsbury, Vermont 05819

(802) 751-2305

Form Test

St. J Rec Dept Winter Registration

Make checks payable to St. Johnsbury Academy Mail checks to: St. Johnsbury Academy Attn: St. J Rec Dept 1000 Main Street St. Johnsbury, VT 05819

Make checks payable to St. Johnsbury Academy

Mail checks to:
St. Johnsbury Academy
Attn: St. J Rec Dept
1000 Main Street
St. Johnsbury, VT 05819