If you would like to pay by check or cash for the Black and White Gala, please fill out the form below, click on "SUBMIT" when you are done, and send a check (made out to JFS PTA) or cash to school ATTN: PTA UTM.
UTM Dinner:     $50 per person
YMCA Chldcare:     $10 first child
$5 per additional siblings

Contact Email*:
Contact Phone*:

Guest 1 Name: Chx Meal: OR Veg Meal:
Guest 2 Name: Chx Meal: OR Veg Meal:


    If your children are attending the YMCA Pizza Bash, please fill in their names and
    ages below. First child is $10 and siblings are $5 each. For example, 4 kids
    would cost $25. Please add this amount to your check.
Child Name: Age:
Child Name: Age:
Child Name: Age:
Child Name: Age:
Child Name: Age:

    Paying by:    Check:       Cash:
    Special Requests:
    * Required fields