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Please fill out this information to register for
If Not Now, When? A JTFGB Summer Experience
Semester:
Summer 2020
Course Number:
JTFGBSU
Course Section:
1
Student Information
Specific Information
Address
Spouse Information
Academic
Specific Information
Required
is required
is Required
First Name
Required
Middle Name
Required
Last Name
Required
Preferred Email Address:
Required
Date of Birth
Required
Pronoun
Required
-- choose one --
Any pronoun can be used
He/him/his
Other preference
She/her/hers
They/them/their
is Required
Phone Number
Required
Phone Number Area Code
Phone Number Exchange
Phone Number Number
Phone Number Extension
Ext:
is Required
Parent/Guardian First Name
Required
Parent/Guardian Last Name
Required
Parent/Guardian Email
Required
Parent/Guardian Telephone
Required
Parent/Guardian Telephone Area Code
Parent/Guardian Telephone Exchange
Parent/Guardian Telephone Number
Parent/Guardian Telephone Extension
Ext:
is Required
If Not Now, When? A JTFGB summer immersive
is Required
Accessibility Needs
Required
Grade as of September 2020
Required
-- select one --
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
College or Gap year
To be answered by a parent or guardian: By typing my name, I give permission for my child to participate in the full duration of this Teen Learning summer 2020 program
Required
To be filled out by a parent or guardian: I understand that my child’s picture may be taken during the course of this program, and I agree to its use on the website or in other promotional materials.
Required
-- select one --
Yes, I agree my photo may be taken/used
No
Please be in touch with Leah Goldstein at lgoldstein@hebrewcollege.edu if you have questions. Once you hit the submit button, there may be a slight delay during processing, but do not exit the page. Please wait until the payment screen appears to make your payment.