Registration Form JCC

Registration 2022-2023 year

Embracing Childhood and Connecting Children to Nature .

Registration for Nature Explorer Class at the JCC

Child's Full Name

Child's Age

Child's DOB

Caregiver's Full Name

Caregiver's Address

Caregiver's Cell

Nature Explorer Classes (walking to 2,5 years old)

Caregiver's Email

To complete your child's enrollment you need to pay the pre-registration fee of $50. More information after you submit this Registration Form.

YMCA of the Pines - 415 McKendimen Rd. Medford NJ 08055

JCC Campground - 400 Tuckerton Rd, Medford NJ 08055