NextGen Philly Fun at the Shore Registration

Thank you for your interest in attending NextGen’s Philly Fun at the Shore on Sunday, July 28 from 10:00 a.m. – 12:00 p.m.

Please fill out the following information to register. For more information about the event, click here.

Contact Information
First Adult Name*
First Last
First Adult Email*
First Adult Cell Phone*
Billing Address*
Address Line 1 Address Line 2 City State ZIP Code
First Adult Home Address*
Same as billing address

Street Address Address Line 2 City State ZIP Code
- Check this box if registering a second adult
Second Adult Name*
First Last
Second Adult Email*
Second Adult Cell Phone*
Second Adult Home Address*
Same as previous

Street Address Address Line 2 City State ZIP Code
How many children (under age 18) will be joining you?*
IN LIEU OF A SIGNATURE, PLEASE ENTER YOUR FULL NAME AND THE NAME(S) OF ANY MINOR CHILD(REN) ATTENDING THIS EVENT OF WHOM YOU ARE THE PARENT AND/OR LEGAL GUARDIAN.*
Credit Card Information
Registration Fee*
Price:
Total Cost
$0.00
Credit Card*
Card Details
Cardholder Name
As a supporter of the Jewish Federation, please keep me updated using the information provided above to reach me through:
- Digital/email
- Text Message
CAPTCHA

Contact Information