ICJA Athletics Registration Form – Ida Crown Jewish Academy

Inspiring Bnei & Bnot Torah to Thrive in the Modern World

ICJA Athletics Registration Form

Athletic Registration Form

Student Name*
Grade
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone
Student Cell Phone
Student Email
Parent Name
Emergency Contact Name*
Parent Cell Phone
Parent Email
Choose the sport/sports you are interested in participating in:*
- Boys Basketball
- Girls Basketball
- Boys Baseball
- Boys Wrestling
- Boys Soccer
- Girls Soccer
- Cross-Country
- Fencing
Email
This field is for validation purposes and should be left unchanged.