Teen Jewish Community Center

To SIGN UP for a TeenJCC Event, to express interest in a program, or to just get on our mailing and e-mail list, fill out this ON-LINE FORM: 1) ADD PERSONAL INFORMATION 2) CHECK OFF EVENTS BELOW 3) CLICK SUBMIT
Name
Sex	Male /Female
Address
City
State
Zip
Phone
E-mail
Screen Name
Date of Birth
Age
Grade
School
Parents names
Parents work phone
Parents e-mail
Comments
Are you a member of a JCC?
	Yes / No
Membership#
If yes, which JCC? (check one)
	Leventhal-Sidman JCC, Newton
	Striar JCC, Stoughton
	Metro West JCC, Framingham
NOTE: FOR SPECIFIC PROGRAMS THERE MAY BE A DISCOUNT FOR MEMBERS OF THE JCC WHICH APPEARS IN PARENTHESIS BESIDE THE GENERAL ADMISSION PRICE.
Yes! Sign me up for the following events:
Upcoming Events Teens for Tzedek Reunion - Fri. & Sat., October 19th & 20th Teens for Tzedek at Codman Farms - Sun., November 4th Every person participating in a TJCC Event must have a signed Emergency Contact form on file in the TJCC office. If you do not have one on file already, please print out the EMERGENCY CONTACT FORM and bring it with you to the event. ----------------------------------------- I am also interested in the following ways to get involved ... YES, I want to Help a Child Learn to Read This Year! YES, I am interested in serving the Homeless this year! YES, I am interested Maccabi Arts-Fest and other Art projects! YES, I am interested in Teens for Tzedek leadership! YES, I am interested in Teens for Tzedek's Girls' Group!