Youth Group Registration 2024-2025

Youth Group will meet monthly on Mondays, with the occasional Wednesday. USY will meet on Thursdays, and additional programs may take place on other days and outside of MJC.

The following grades will meet together:
- 2nd & 3rd grade
- 4th & 5th grade
- 6th grade
- 7th - 12th grade (USY Teens)

Visit our website to learn about upcoming programming.

Parent(s) Name(s)

* Parent Email Address #1

Parent Email Address #2

Are you a member of MJC?

YesNo

* First & Last Name of Child #1

Does your child have any allergies? If so, please list below.

Is there any other information we should know about your child?

First & Last Name of Child #2

Does your child have any allergies? If so, please list below

Is there any other information we should know about your child?

First & Last Name of Child #3

Does your child have any allergies? If so, please list below

Is there any other information we should know about your child?

First & Last Name of Child #4

Does your child have any allergies? If so, please list below

Is there any other information we should know about your child?

* Name(s) of individuals who can pick up your child from youth group.

* Emergency Contact: Please include name and phone number of 2 individuals

Dues for Youth Group include a dairy/pareve dinner. Please enter the number of children you are registering in the appropriate spaces provided below. The rates listed below are for 2nd - 12th graders.

Session 1: Sept. - Dec. @ $75 per child (4 programs)

Session 2: Jan. - May @ $100 per child (5 programs)

Full Year: Sept. - May @ $150 per child (9 programs)

Total amount due

* Photo Permission - Please select one of the options listed below

I give permission for MJC to take photos of my child(ren) and use them in promotional material online and in print.I do not give permission for MJC to take photos of my child(ren) and use them in promotional material online and in print.

* I acknowledge that the fee paid for youth programming does not include field trips outside of MJC. There will be an additional cost for trips that will be planned throughout the year.

I acknowledge that the fee paid for youth programming does not include field trips outside of MJC. There will be an additional cost for trips that will be planned throughout the year.

* I consent to my child(ren) to participate in the programs at MJC and acknowledge there may be associated risks with sports programs, cooking, etc.

I consent to my child(ren) to participate in the programs at MJC and acknowledge there may be associated risks with sports programs, cooking, etc.

Visit our website to learn about upcoming programming.

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