Teen Learning Programs Information Request Form

Teen Name*

First Last Pronouns

Teen Email (or the best email to reach you)*

Teen Phone (or the best phone number to reach you)*

Grade and School as of September 2022*

Synagogue, Minyan, or Jewish Community affiliation(s), if any*

Parent / Guardian 1 Name*

First Last

Parent / Guardian 1 Email, if different from above

Parent / Guardian 1 Phone, if different from above

Address*

City State / Province / Region

Choose your Jewish learning experience! Select all programs of interest.*

Select All
Prozdor: Jewish Teen Learning - Hebrew, history, ethics, arts, and more (8th-12th grade)
Jewish Teen Foundation of Greater Boston: Leadership and Philanthropy (9th-12th)
Teen Beit Midrash: A Talmud Laboratory (8th-12th), online and in-person
Dignity Project: Inter-religious Teen Leadership Corps

How did you hear about our programs?

Anything else that would be helpful to know? We look forward to being in touch soon!

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