MERCAZ FALL REGISTRATION 2012
 
 

Your Name: *
Phone: *
Grade:*
Parent Email Address:
Email Address: *
Synagogue:






6:30 - 7:25. Choose your 1st and 2nd class choices below.

Classes are filled on a first come first serve basis. Register NOW to ensure placement in your preferred classes.

Note: Video Film Making and Paint Your Jewish World meets both hours (6:30 - 8:30 with break)

6:30pm 1st Choice:*
6:30pm 2nd Choice:*






7:35pm

List a first and second class choice for 7:35. Classes are filled on a first come first serve basis. Register NOW to ensure placement in your preferred classes.


7:35pm. 1st Choice:*
7:35pm. 2nd Choice:*
Optional: List 1 friend you would like to be in class with:
I would prefer to:*



(Fields marked with * are required)


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