Printed fromHarfordChabad.org

OF HARFORD COUNTY

ב"ה

cTeen/JLI Teens Registration

cTeen/JLI Teens Registration

There is no official tuition for cTeen/JLI Teens (there are fees for some programs and trips)
Our cost for the teen programming we offer is over $5000

Please consider checking the box that allows us to schedule a meeting to discuss how you can help support the cTeen program.

By filling out this form, Harford Chabad or one of our teens may contact you or your teenager to invite them to join a program, shabbaton, event of service project.
Teen's Name*

First Name Last Name
Hebrew Name*
Teen's E-mail
Birth Date*

Month Day Year
School*
Class of (e.g. 2020)
Previous Jewish Education*
Grade entering*
Additional notable Information - Snapchat, Instagram, Facebook?
Leader

Please contact me with more details about being a teen leader
Parents Information
Father's Name*

First Name Last Name
Father Cell

- Area Code Phone Number
Father's E-mail
Mother's Name*

First Name Last Name
Mother Cell

- Area Code Phone Number
Mother's E-mail
Support

Yes, you may contact us to help support the teen program
Should be Empty:

This page uses TLS encryption to keep your data secure.