1. 1 Registration Form
  2. 2 Review
  3. 3 Receipt

= Required

JCP YOUTH: Middle School Registration 2017/2018

(Note that if your child is enrolled in our 6th, 7th, 8th grade Hebrew School class, you do not need to complete this form.)

Please contact Alex Kogan (alex@jcpdowntown.org), Director, Finance and Administration, to inquire about fee reduction, as we do not wish finances to be a barrier to participation.

Middle School YOUTH Dates:

Shipwrecked: A Mini Golf Experience - Sunday, September 17
Shabbat Dinner Under the Stars - Friday evening, October 6
Project Ezra: a day of service- Sunday, November 5
The Fourth Annual Doughnut Crawl - Saturday night, December 9
Family Shabbat Dinner - Friday, January 19
Let's Go New York!- Saturday Night, February 3
The Mystery Event - Saturday Night, March 10
Discovering our Roots: Ellis Island - Sunday, April 22
Dessert and DIscuss - Saturday Night, May 19
Family Shabbat Weekend- Friday, June 8 through Sunday June 10

Registration - Whole Series Only

($600.00 each)
Please note this price includes all YOUTH events and the Family Shabbat Weekend.
If you would like to register for individual YOUTH events and not the whole series, please register in the "Registration - Individual Events" section below.

Registration - Individual Programs

Please enter the number of participants per event. You may select multiple events.
I would like to register the following number of participants for the events below:
($60.00 each)
($40.00 each)
($40.00 each)
($50.00 each)
($40.00 each)
($100.00 each)
($120.00 each)
($60.00 each)
($60.00 each)
($150.00 each)

Participant Information

Please enter the full names of the children you are registering in the boxes below:
Please provide three emergency contacts. Please note that the registrant and a second parent (if applicable) should be listed as the first and second emergency contacts.
JCP is dedicated to creating a safe and healthy environment for children and it is our hope that the use of the following release will never be needed. Nevertheless, please review and sign in the space provided below so that we can be in compliance with certain protocols.
On behalf of myself and my child, I do hereby release and discharge and agree to hold harmless the Jewish Community Project of Lower Manhattan, Inc., and its members officers, directors, employees, affiliates, and agents (including persons serving as volunteers) (collectively, hereinafter referred to as "JCP"),
individually and collectively, of and from any and all liability, action, cause of action, claim, demand, and responsibility whatsoever in law and in equity, arising out of or in consequence of my child's participation in the JCP Youth Group Program, including,
specifically but without limitation, bodily injury, unless same is caused by the gross negligence or willful misconduct of JCP. I also understand that specific event details are subject to change.
By giving approval below, it is understood that you, as the child's legal guardian, grant permission to Jewish Community Project, its employees and its representatives (collectively, “JCP”), to use, without charge, images (photograph & video) taken of you and your child(ren) on JCP’s premises or in conjunction with a JCP event or for the purpose of a JCP publication.
These images (photograph & video) may be used in any and all JCP publications, including, but not limited to, electronic materials, the website, social media outlets, audio/visual presentations, promotional literature and/or advertising.
It is understood that you hereby release, discharge and agree to hold harmless JCP from any liability that may occur or be produced in the taking, production, processing or publication of such images.