Merage JCC
Orange County

Maccabi Team OC 2020 Registration

Athlete/Artist's name

Athlete/Artist's date of birth (mm/dd/yyyy)

Age (as of 7/31/20)

Gender

Male Female

Athlete/Artist's email

Athlete/Artist's cell phone

School

Synagogue

Parent's name(s)

Home phone

Cell phone

Address

City

State

Zip

Please select which location your teen plans on attending

San Diego July 31 - Aug 7 Pace University Aug 7 - 14

Page 1 of 2