2012 Registration - Day on the Hill

Register here!

For each registrant, fill out the short form below and click on the "Register" button. You will be taken to a JRLC-Paypal shopping cart where you can confirm, cancel, or delete registrations. Add additional registrants to your shopping cart by clicking the "Continue Shopping" button on the Paypal form, which returns you to this page. For each registrant, use the form below and click the "Register" button. When finished, you can review your registration(s) and then check out and pay with a major credit card, or with your own Paypal account.

Registration Fees

• Through March 2 - $30 ($15 student/low income)
• March 3 through March 16 - $40 ($25 student/low income)
  On-line registration ends Friday, March 16, at 1:00 pm. 
• March 17 - March 20 and at the door - $45 ($30 student/low income)

Name of Registrant

Congregation

Registrant's Legislative District

(Find legislative districts here.)

Registration Type

Standard $30.00 USD Student/Discount $15.00 USD

Dietary Needs

No Special Diet Vegetarian Grain-free Kosher

Yes! I will attend the iCAN Children's Caucus.