Program Registration - Child JCC Member - JStage: Workshops & Master Classes

Parents registering children, please fill out this section


Participant Information:
First Name
Last Name
Child's Date of Birth (mm/dd/yyyy)

Primary Contact Information:
First Name
Last Name
JCC Member #
Secondary Contact Information:
First Name
Last Name

Payment Information:
Payment Method
Card Type
Name on Card
Credit Card Number
CVV (located on back of card)
Expires (mm/yy)
Important Information: One-time program fees are non-refundable. For classes the following applies:
  • a full refund if the JCC cancels a class;
  • a full refund minus a $10 administrative fee for withdrawals before class begins;
  • a 50% refund for withdrawal at the end of the first class;
  • no refunds are given after the second class begins.

Member signature or written request required for all refunds. Transactions returned to the JCC for insufficient funds are subject to a $25 charge. The Merage JCC reserves the right to use all pictures and video taken at events for publicity purposes.