JCC Soccer Programs - Sign Up Form
Please complete this form to be contacted by JCC Sports Department staff member.
Email address *
Are you a member or a non member of the JCC? *
Required
Join team JCC !!!
Parent Full Name *
Your answer
Phone *
Your answer
1st Child's Name *
Your answer
Age *
Your answer
2nd Child's Name
Your answer
Age
Your answer
Choose a program type for your child. *
Program Type - All soccer programs conducted at the Bernikow Building located on 1466 Manor Road
Required
How would you like to be contacted? *
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How did you hear about the JCC? *
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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