JCC Maccabi Athlete Information Form

Registration Form is due by Saturday, January 31.

 

1.  Please Complete the Athlete's Information Below:

Athlete Full Name
Address
City
State
Zip
Athlete Date of Birth (MM/DD/YYYY)
Athlete Gender
 Male
 Female
 Non-Binary
 Choose not to disclose
Did the athlete participate in the 2023 JCC Maccabi Games in Florida?*
 Yes
 No

2.  Sports

Sport Interest (select up to 3)
 Baseball  Basketball
 Golf  Dance
 Volleyball  Ice Hockey
 Soccer  Table Tennis
 Tennis  Star Reporter
 Swimming  

3.  Parent Information

Parent/Guardian #1 Full Name
Cell Phone
Email
Parent/Guardian #2 Full Name
Cell Phone
Email

Registration Form is due by Saturday, January 31.