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Jewish Teen Project (formerly Teen Midrasha)
YEAR TWO OF THIS TEEN CO-OP FOR OUR HIGH SCHOOL STUDENTS IS READY! 2020-2021
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Name of Student
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Your answer
Grade of Student for 2020-2021 school year
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8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student Cell Phone
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Your answer
Student E-mail
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Your answer
Parent Name
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Your answer
Parent Name
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Your answer
Parent E-Mail
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Your answer
Parent Phone number
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Your answer
Address
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Your answer
Synagogue Name (if Unaffiliated, please note)
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Your answer
Emergency Contact (Name and Phone)
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Your answer
Allergies (if None, please note)
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Your answer
By checking the boxes below, please note your permission to:
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Photograph your student
Post pictures of your student online (synagogue websites only, not on social media)
I do not wish my student to be photographed, or posted online
Comments? Please note below. Thank you. (And don't forget a deposit of $100 is due by June 15, 2020. Make checks payable to NSSBE attn.: Alicia Gejman.)
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