Youth Sports Registration

Winter 2021-2022

Register for Youth Sports at the J!

Youth Sports Registration Form

Participant Information

Paticipant's Full Name(Required)

First Last

Participant's Birthday(Required)

Participant's School(Required)

Participant's Address(Required)

Street Address Address Line 2 City State ZIP Code

Parent / Guardian's Full Name(Required)

First Last

Parent / Guardian's Email(Required)

Parent / Guardian's Phone(Required)

Emergency Contact's Full Name(Required)

First Last

Emergency Contact's Relationship to Participant(Required)

Emergency Contact's Phone(Required)

Member Status(Required)

(class options appear when selected)

Class Selection for Guests

Youth Tae Kwon Do – Guest $250

Gym Games – Guest $250

Basketball – Guest $250

Total

Class Selection for Participants enrolled in either Robert J. Wilf Preschool & Kindergarten, KidsTime, or Camp Kef

Youth Tae Kwon Do – Member $230

Gym Games – Member $230

Basketball – Member $230

Total

Payment Information

Total

Credit Card(Required)

Card Details

Cardholder Name

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

Liability Waiver

Liability Waiver(Required)

I agree

By checking this box, I release, hold harmless, and indemnify the Kaiserman JCC and the Jewish Federation of Greater Phila, as well as it’s agents and employees, from and against any liability on their part, of any kind whatsoever, which may arise in any manner, from use of the JCC’s facilities.

Login to Kaiserman JCC

Youth Sports Registration

Winter 2021-2022

Register for Youth Sports at the J!

Participant Information

Class Selection for Guests

Class Selection for Participants enrolled in either Robert J. Wilf Preschool & Kindergarten, KidsTime, or Camp Kef

Payment Information

Liability Waiver

weekly schedule