Youth Movement Registration

Parent Information

Email(Required)

Phone(Required)

Email

Phone

Child Information

Date of Birth(Required)

Phone(Required)

Name of School(Required)

Please list any food, medical or other allergies your child has(Required)

Date of Birth(Required)

Phone(Required)

Name of School(Required)

Please list any food, medical or other allergies your child has(Required)

This year we will be requiring $180 per child for the year to participate in Me’ever. This will include the annual ice skating trip and movie/games nights!

Registration Fee (Required)

Price: $180.00

Total

Credit Card

Welcome Aboard!

Registration Form

weekly schedule

Login to Moise Safra Center

Youth Movement Registration

Welcome Aboard!

Registration Form

weekly schedule