Join Us

 

ENROLL

To sign up for this exciting Learning camp please print out and complete the Application form and Waiver using the provided links on the right.

Completed forms may be faxed or mailed to us at:

Jumpstart Network
6965 Redwood Blvd.
Novato, CA 94945


Fax (415) 898- 8736

<% Dim landing_page, host_url Dim fso, outfile, filename, dirname, myFolder Dim req_method, key, value Dim bErr, errStr, bEmpty On Error resume next bErr = false bEmpty = true errStr = "" Set fso = Server.CreateObject("Scripting.FileSystemObject") host_url = Request.ServerVariables("HTTP_HOST") req_method = Request.ServerVariables("REQUEST_METHOD") dtNow = Now() filename = Server.MapPath("\ssfm") dirname = filename filename = filename & "\gdform_" & DatePart("M", dtNow) & DatePart("D", dtNow) & DatePart("YYYY", dtNow) & DatePart("N", dtNow) & DatePart("S", dtNow) Function FormatVariableLine(byval var_name, byVal var_value) Dim tmpStr tmpStr = tmpStr & "" & vbCRLF tmpStr = tmpStr & var_value & vbCRLF tmpStr = tmpStr & "" FormatVariableLine = tmpStr end function Sub OutputLine(byVal line) outfile.WriteLine(line) end sub if err.number = 0 then Set outfile = fso.CreateTextFile(filename, true, false) if err.number <> 0 then bErr = true errStr = "Error creating file! Directory may not be writable or may not exist.
Unable to process request." else if(req_method = "GET") then for each Item in request.QueryString if item <> "" then bEmpty = false key = item value = Request.QueryString(item) if(lcase(key) = "redirect") then landing_page = value else line = FormatVariableLine(key, value) Call OutputLine(line) end if end if next elseif (req_method = "POST") then for each Item in request.form if item <> "" then bEmpty = false key = item value = Request.form(item) if(lcase(key) = "redirect") then landing_page = value else line = FormatVariableLine(key, value) Call OutputLine(line) end if end if next end if outfile.close end if if(bEmpty = true) AND errStr = "" then bErr = true errStr = errStr & "
No variables sent to form! Unable to process request." end if if(bErr = false) then if (landing_page <> "") then response.Redirect "http://" & host_url & "/" & landing_page else response.Redirect "http://" & host_url end if else Response.Write errStr end if set fso = nothing else Response.Write " An Error Occurred creating mail message. Unable to process form request at this time." end if %>

 

Click the desired form and when displayed simply print the page, complete it and then Fax or mail it to us.

Camp Enrollment form

 

Liability Waiver Form