Jteen Program 2022

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Pay or Donate

Home
Pay or Donate

* Adult 1 First Name

* Adult 1 Last Name

Adult 2 First Name

Adult 2 Last Name

* Address Line 1

Address Line 2

* City

* Province

* Postal Code

Home Phone

Mobile Phone

* Email

Registration

JTEEN Grades 7-9 $360

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.

* 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

Would you like to make an additional donation to help underwrite the costs of this program?

Total

Thu, 21 September 2023 6 Tishrei 5784