JCC Winter Program Guide

Page 19

registration Online

Begins 12/9. Most classes are available for online registration. Follow the instructions on our website jccnh.org.

By Mail or Fax

Mail registration and payment to JCC of Greater New Haven, 360 Amity Rd., Woodbridge, CT 06525 or Fax registration with credit card information to (203) 387-1818

In Person

Beginning 12/9, Registrar’s Office, 9:30am-3:30pm or drop off with payment at the Reception Desk. Pay by cash, checks, Visa, MC, AMEX, and Discover Full or secured payment required at time of registration. Non-member registration begins 12/12 (non-member registration received before 12/12 will be placed on waiting list)

 JCC member*

 Non-member

Name_ ______________________________________________  M

F

Address_________________________________________________________________________________________________ City/State/Zip________________________________________________________ Email_ _______________________________ Home Phone ____________________________________________________ Cell Phone_ _______________________________

Participant 1 Name_ _______________________________________________Birthdate_ _______________________________ Code

Class/Program

Day

Time

Fee

___________________________________________________________________________________________ ___________________________________________________________________________________________

Participant 2 Name_ _______________________________________________Birthdate_ _______________________________ Code

Class/Program

Day

Time

Fee

___________________________________________________________________________________________ ___________________________________________________________________________________________

Payment:

 Check

 Card # ____________________________________________

Exp. Date_ _______________

Signature_________________________________________ Date _______________ Total Due_ ______________ *To be eligible for a member fee, your membership must be current throughout the duration of the class.

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