Generation Gives 2025-2026

Parent/Guardian One First Name
Parent/Guardian One Last Name
Parent/ Guardian One Address
Parent/Guardian One Email
Parent/Guardian One Phone Number
Parent/Guardian Two First Name
Parent/Guardian Two Last Name
Parent/ Guardian Two Address
Parent/ Guardian Two Email
Parent/ Guardian Two Phone Number
Child First Name
Child Last Name
Child Cell
Child DOB
Child School in 25-26
Child Grade in 25-26
$500 Fee
Comment(s) - optional
Payment Information
Credit Card Type
Name on Card *
Credit Card Number *
CVV *
Card Expiration *
I would like to pay the credit card transaction fees to support the UJA-JCC Greenwich (optional).	Add an additional 3% `
Billing Information
Billing Address
City
State
Zip Code
Email
Please note that if you are registering multiple children, you need to fill out the form again. Emergency Form --Form must be completed in full, scanned and emailed to cori@ujajcc.org to complete registration.