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JR Maccabi Games Registration

Child Information:
First Name
Last Name
Child's Date of Birth (mm/dd/yyyy)
Gender
 Male
 Female
Parent's name(s)
Email
Phone
Address
City
State
Zip

Please select your child's first, second and third choices for sports:
Art
Boys Basketball
Girls Basketball
Dance
Journalism
Musical Theater
Soccer
Swimming
Tennis
Taste of Maccabi, ages 5 - 7 years

Payment Details:
Total due
 $90 Members
 $105 Public

Payment Information:
I am a member, charge my card on file
Card Type
Name on Card
Credit Card Number
CVV (located on back of card)
Expires (mm/yy)

The Merage JCC is a 501(C)(3) non-profit organization and all contributions are tax deductible to the full extent of the law. The JCC Federal Tax ID number is 330016661.