REGISTRATION FORM

Contact Information

First Name *

Last Name *

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Phone

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Child's Information

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I am interested in transportation from the JCC

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Event Fee(s)

Session Options

Chanukah & Mitzvot Food Art - Tuesdays: Oct 21 - Dec 16 - $ 280.00: 8 Sessions

Chanukah & Mitzvot STEAM - Thursdays: Oct 23 - Dec 18 - $ 210.00: 6 sessions

Total

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

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