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Jteen Program 2022
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Adult 1 First Name
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Adult 1 Last Name
Adult 2 First Name
Adult 2 Last Name
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Address Line 1
Address Line 2
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City
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Province
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Postal Code
Home Phone
Mobile Phone
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Email
Registration
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JTEEN Grades 7-9 $360
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JTEEN Grades 10-12 $360
Please list the name(s) and age(s) and grade(s) of your teen who will be attending this program.
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For the health and safety of our community, we are asking all who attend our programs, services and events agree to the following safety protocols: 1) All attendees who are eligible for vaccination are fully immunized 2) All are asked to self monitor for any COVID symptoms and will not attend if symptomatic or COVID positive 3) Masking is required for all attendees (if a medical exemption is required, please contact the office)
I agree to respect and abide by all the above protocols
Donation
0.00
18.00
36.00
54.00
100.00
250.00
500.00
I prefer not to contribute at this time.
Would you like to make an additional donation to help underwrite the costs of this program?
Total
Thu, 21 September 2023 6 Tishrei 5784