DJS Family Reunion Registration Form

DJS Family Reunion Registration Form

Register your family for the 2026 DJS Family Reunion, July 24 - July 26, 2026 at The Historic Claridge Hotel (123 S. Indiana Ave, Atlantic City, NJ 08401).
DJS Family Reunion 2026

July 24 - July 26th in Atlantic City, NJ

The Historic Claridge Hotel

123 S. Indiana Ave, Atlantic City, NJ 08401

djsfamilyreunion.com
Primary Contact Information

Please provide your contact details for registration correspondence.
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Family Registration Information

Tell us about the family members you are registering. Adults (Ages 13 and older), Children (Ages 4 through 12), and Small Children (Ages 3 and younger)
Today's Date
Registration Type
How many adults (Ages 13 and older) are you registering (including yourself)?
Adult Details

Please provide details for each Adult member attending, up to 10 members.
Adult 1

First NameLast Name
Adult 1 T-shirt Size
Adult 1 Dietary Restrictions
Adult 2

First NameLast Name
Adult 2 T-shirt Size
Adult 2 Dietary Restrictions
Adult 3

First NameLast Name
Adult 3 T-shirt Size
Adult 3 Dietary Restrictions
Adult 4

First NameLast Name
Adult 4 T-shirt Size
Adult 4 Dietary Restrictions
Adult 5

First NameLast Name
Adult 5 T-shirt Size
Adult 5 Dietary Restrictions
Adult 6

First NameLast Name
Adult 6 T-shirt Size
Adult 6 Dietary Restrictions
Adult 7

First NameLast Name
Adult 7 T-shirt Size
Adult 7 Dietary Restrictions
Adult 8

First NameLast Name
Adult 8 T-shirt Size
Adult 8 Dietary Restrictions
Adult 9

First NameLast Name
Adult 9 T-shirt Size
Adult 9 Dietary Restrictions
Adult 10

First NameLast Name
Adult 10 T-shirt Size
Adult 10 Dietary Restrictions
Children Details

Please provide details for each child attending, up to 10 children.
How many Children (Ages 4 through 12) are you registering?
Child 1

First NameLast Name
Child 1 T-shirt Size
Child 1 Dietary Restrictions
Child 2

First NameLast Name
Child 2 T-shirt Size
Child 2 Dietary Restrictions
Child 3

First NameLast Name
Child 3 T-shirt Size
Child 3 Dietary Restrictions
Child 4

First NameLast Name
Child 4 T-shirt Size
Child 4 Dietary Restrictions
Child 5

First NameLast Name
Child 5 T-shirt Size
Child 5 Dietary Restrictions
Child 6

First NameLast Name
Child 6 T-shirt Size
Child 6 Dietary Restrictions
Child 7

First NameLast Name
Child 7 T-shirt Size
Child 7 Dietary Restrictions
Child 8

First NameLast Name
Child 8 T-shirt Size
Child 8 Dietary Restrictions
Child 9

First NameLast Name
Child 9 T-shirt Size
Child 9 Dietary Restrictions
Child 10

First NameLast Name
Child 10 T-shirt Size
Child 10 Dietary Restrictions
Small Children Details

Please provide names for each small child ages 3 and younger, up to 10 small children.
How many Small Children (Ages 3 and younger) are you registering?
Small Child 1

First NameLast Name
Small Child 1 Dietary Restrictions
Small Child 2

First NameLast Name
Small Child 2 Dietary Restrictions
Small Child 3

First NameLast Name
Small Child 3 Dietary Restrictions
Small Child 4

First NameLast Name
Small Child 4 Dietary Restrictions
Small Child 5

First NameLast Name
Small Child 5 Dietary Restrictions
Small Child 6

First NameLast Name
Small Child 6 Dietary Restrictions
Small Child 7

First NameLast Name
Small Child 7 Dietary Restrictions
Small Child 8

First NameLast Name
Small Child 8 Dietary Restrictions
Small Child 9

First NameLast Name
Small Child 9 Dietary Restrictions
Small Child 10

First NameLast Name
Small Child 10 Dietary Restrictions
Would you like to purchase additional T-shirts? ($20 each, must be picked up at reunion)
Additional T-shirt Orders

Adult Price
Child Price
Child Standard Price
Adult Standard Price
Total Adult Price
Total Child Price
Total Addl. T-shirts
Total Addl. T-shirt Price
Order Subtotal
Total Due
Total Paid

Invoice Summary

Description	Quantity	Unit Price	Total
Adults (Ages 13 and Older)	{q7_number5}	${calculation}.00	${calculation114}.00
Children (Ages 4 through 12)	{howMany}	${calculation110}.00	${calculation115}.00
Ages 3 and Younger	{howMany96}	$0.00	$0.00
Additional T-Shirts	{totalAddl124}	$20.00	${totalAddl}.00

Subtotal:	${orderSubtotal}.00
Total Paid:	${totalPaid}.00
Total Due:	${totalDue}.00

Payment Options
Payment Status
Payment Method
Payment 1
Payment 1 Date
Payment 2
Payment 2 Date
Payment 3
Payment 3 Date
Payment Date
Check Payment Instructions

If paying via check, please write a check for the total due amount of ${totalDue} payable to "Ed Johnson" and mail to;

Ed Johnson

4 Hickory Hill Rd.

Dix Hills, NY 11746

Please include "Invoice #: {uniqueId}" on the check

Your registration will be confirmed once payment is received.
Zelle Payment Instructions

If paying via Zelle, please send total due amount of ${totalDue} via Zelle to Chris Johnson at

Zelle Address: djsfamilyreunion@gmail.com

Please include "Invoice #: {uniqueId}" in the Zelle payment notes.

Your registration will be confirmed once payment is received.
PayPal Payment Instructions

If paying via PayPal, please send total due amount of ${totalDue} via PayPal to Chris Johnson at

PayPal Address: djsfamilyreunion@gmail.com

Steps:
1. Open PayPal
2. Select Send
3. Enter the email above
4. Choose "Friends & Family" option to avoid fees
5. Please include "Invoice #: {uniqueId}" in the PayPal notes field

Your registration will be confirmed once payment is received.
Should be Empty:

DJS Family Reunion Registration Form

DJS Family Reunion 2026

The Historic Claridge Hotel

Primary Contact Information

Family Registration Information

Adult Details

Children Details

Small Children Details

Invoice Summary

Check Payment Instructions

Zelle Payment Instructions

PayPal Payment Instructions