CTeen Sign Up | www.jewishkids.club

Signup form for the most amazing Jewish teen club in Berkeley!

Information

First Name *

Last Name *

Name of School *

Grade *

9

10

11

12

Birth Date *

Address Name *

Phone *

Email *

IG Account

Guardian

Parent/guardian name

Parent/guardian phone number *

Parent/guardian email address *

What is your Jewish background (choose all that apply) *

Jewish Kids Club

office@jewishkids.club | (510) 859-8808 | Non profit 501(c)(3) ID # 83-0945973

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