Sunday Funday - The Marion & Aaron Gural JCC

Please complete the registration form below:

Name(Required)

First Last

Male/Female(Required)

Male

Female

Date of Birth(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Father's Name(Required)

First Last

Father's Phone(Required)

Mother's Name(Required)

First Last

Mother's Phone(Required)

Age Group(Required)

Select Session(Required)

Please select which session(s) you are applying for. This program must be paid in full with registration. There are no refunds or reductions due to absences or illness.

Session 1: 10/10, 10/17, 10/24, 10/31, 11/7, 11/14, 11/21, 12/5, 12/12, 12/19, 12/26, 1/2, 1/9, 1/16
Session 2: 2/6, 2/13, 2/27, 3/6, 3/13, 3/20, 3/27, 4/3, 4/10, 5/1, 5/8, 5/15, 5/22, 6/12

Total

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name