Seaboard USY Sub-Regional Registration
Join all YOUR local Jewish friends for a Hollywood-themed night in your area while the rest of the region is participating in Hollywood activities at the SAME TIME!

COST: $20 for Members and $25 for Non-Members
*Pay at the door

Name *
Your answer
Grade *
Cell Phone Number *
Your answer
Email *
Your answer
Emergency Contact - First and Last Name *
Your answer
Emergency Contact - Phone Number *
Your answer
Emergency Contact - Alternate Phone Number *
Your answer
Please list any allergies and food restrictions: *
Your answer
Which Sub-Regional Event are you attending? *
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