JCA ADULT EDUCATION • SPRING 2020 REGISTRATION
For inquiries about registration email adultedprog@comcast.net. For inquiries about programs email barbruth@comcast.net. Please put the name of the program in the email subject line.
PARTICIPANT
Please complete a SEPARATE form for EACH participant
First Name *
Your answer
Last Name *
Your answer
Email Address *
Please double-check the address; it will be used for sending a confirmation of your registration and all subsequent updates about the programs for which you register.
Your answer
PROGRAMS
Please select the program(s) for which you would like to register and note the suggested contribution amounts. PLEASE NOTE THAT REGISTRATION FOR THE MARCH 27-29 50th ANNIVERSARY ADULT ED WEEKEND WILL BE CONDUCTED SEPARATELY.
INTERMEDIATE HEBREW LITERACY • Janis Levy
Mondays: February 17, 24; March 2, 23, 30; April 6, 13, 20 • 7:00 – 8:30 PM; enrollment minimum: 6
FAMILY PICTURES • Michael Lesy
Thursdays • March 5, 12, 19, 26; April 2, 16 • 7:30 – 8:30 PM; enrollment minimum: 6
CONTRIBUTION
Subtotal for the programs *
Your answer
Additional Contribution
Any contributions beyond suggested amounts help support future adult-education programming. Thank you!
Your answer
Total Contribution *
Your answer
PAYMENT
To make your payment online, via PayPal or credit card, go to our website at
https://jcamherst.org/payments-and-donations/payments
and choose Adult Education Class from the menu of payment options.
PLEASE REMEMBER TO SUBMIT THIS REGISTRATION FORM BEFORE YOU MAKE YOUR PAYMENT!

If you prefer to pay by check, please make it out to "JCA," add "Adult Ed" in the memo line
and send it to the JCA Office.
Payment Format *
Notes About Your Registration
Please provide any information you think will be helpful for processing your registration and donation. Especially if you will be making a single payment for several registrants, please note it here.
Your answer
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