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Program Registration - Child Nonmember - JStage: Workshops & Master Classes Registration

Parents registering children, please fill out this section

 

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

Primary Contact Information:
First Name
Last Name
Email
Phone
Address
City
State
Zip
Secondary Contact Information:
First Name
Last Name
Phone

Payment Information:
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.