Fire
    UPCOMING EVENTS:

  • Spring Pow-Wow – June 3-5, 2016. JCC Camp, Medford, NJ www.jcccampsatmedford.org. Price is $100 per per family. The yearly dues are $80. If you pay your dues now you will be entitled to two IP 2016 shirts. Additional shirts can be purchased for $10.00 per shirt.

  • Dues – $80 per family (annual). Must be paid once per trip year.

Please fill the information below correctly! We need it to associate the payment with you! Otherwise the payment will not be credited to your name! You will complete the payment on the next page!

Note: Dues are now combined. Please pay once per school year.

Father's name:   Daughter’s name:  
Street Address:   Town:  
Phone number:   Tribe:  
For Phone, please enter only numbers:
No spaces or punctuation.
  Email:  
Attending   Description Due by Price (each)
  JCC Registration & Dues Payment: Includes 2 t-shirts.
Adult: Child:
5/27/2016 $180
per family
  Just Dues Payment:
(not coming to JCC)
Includes 2 t-shirts if paid prior to 5/27/2015.
Adult: Child:
To buy extra hoodie sweatshirts, see below.
5/27/2016 $80
per family
Extra t-shirts:
must be paid by 5/27/2015
Child 2: Child 3:
5/27/2016 $10

TOTAL:
Stefig Design