Please scroll down to register 

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~ REGISTRATION ~

$35 per person. Additional cost for transportation TBD.

TEEN INFORMATION
Name:
DOB:  Email:
Address:
Cell:  Home Phone:
High School:
 Please name 2 Jewish friends:
Emergency contact name:
Emergency contact phone:
The best way to contact me is Email Phone
 
PAYMENT INFORMATION
Name on Card:
Card Type:   Card Number:
Expires:  CVV:
Please charge my card:        

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