The Lisa F. Brill Institute for Jewish Learning Offsite Classes

Participant Information

First Name :
Last Name :
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Are you currently a member of the MJCCA?
 Yes
 No
Synagogue Affiliation (if any) :
How did you hear about this course(s)?
Barcodes and fees for the courses for which you'd like to register :

Registration Information: Registration on a first-come, first-served basis; Refund Policy: $25 processing fee retained; No refunds after the first month of class; Minimum 12 students per class; Maximum 25 students per class; Payment plans available

Payment Information

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Card*
Name on card*
Credit Card Number*
Expiration*

Waiver

 I HAVE READ THE MARCUS JEWISH COMMUNITY CENTER OF ATLANTA, INC. RELEASE, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY MY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE, CONTINUING AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT OF THE LAW.

Please note: you are not registered for the class until you get a confirmation email from Laurie Rose.

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