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Hover over date to see available events:

Your Name
Your E-mail
Your Contact Phone
Street Address/PO Box
City
State
Zip
Subject
Question / Request for Information:

Secured Online Payment
$30 Per Child
Includes Breakfast/Lunch

Please remit $30 per child for the JCC's breakfast/meal plan.  
Please choose the credit card you would like to use:
Name on credit card
Credit Card Number (use no hyphens)
Exp. Date
Enter Security Code on Card
Total amount to be charged to your credit card (ex. 30.00)
Name
Company
Address
Address 2
City
State
Zip
Phone xxx-xxx-xxxx
Email
Any special remarks
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