J Teen Ambassador
Become a J Teen Ambassador!
Help Shape the Future of Teen Programs at the Evelyn Rubenstein JCC and Earn Community Service Hours
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Teen First Name *
Teen Last Name *
Teen Phone Number *
Teen Email *
Teen Birthday *
MM
/
DD
/
YYYY
Teen Grade *
Teen School *
Parent Name *
Parent Email *
Parent Phone Number *
Please select which J Teen Ambassador group(s) you are interested in *
Required
Thank you for filling out the registration to be a J Teen Ambassador!
If you have any questions please email Barrie at bskalsky@erjcchouston.org
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